Brickstreet Pharmacy
LBN: Abeldt Enterprises Inc
Brickstreet Pharmacy is an health care organization with primary practice located at 314 W Rusk St , Tyler TX 75701-1513. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Abeldt Enterprises Inc can be contacted via phone (903) 533-8155, or through Abeldt, Jeffrey V via phone (903) 533-8155.
Contact Information
Primary practice address
314 W Rusk St
Tyler TX 75701-1513
Phone: (903) 533-8155
Fax: (903) 533-8158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 006419 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 21015 | Texas |
Profile Details
| NPI number | 1659406734 |
|---|---|
| LBN Legal business name | Abeldt Enterprises Inc |
| DBA Doing business as | Brickstreet Pharmacy |
| Authorized official | Abeldt, Jeffrey V RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jun 12th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659406734 | NPPES |
| Texas | MEDICAID | 1455244801 | |
| Texas | Other | 530989 | |
| Texas | MEDICAID | 145088 |
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