Individual provider · Type 1 NPI

William C. de Baca Sr., RPH

Pharmacist · Grand Prairie, TX

NPI number 1922489434 Active

Practice location

215 N Carrier Pkwy
Grand Prairie, TX 75050-5425

Call (972) 642-8888 Map

Fax (972) 642-9257

Mailing address

526 Newt Patterson Rd
Mansfield, TX 76063-1663

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	26349 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1922489434

William C. de Baca Sr., RPH's National Provider Identifier is 1922489434, issued on Jun 11, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jun 11, 2015.