Malley'S Family Pharmacy

LBN: Beaumont Pharmacy Llc
Malley'S Family Pharmacy is an health care organization with primary practice located at 3110 Calder Ave. , Beaumont TX 77702-1411. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beaumont Pharmacy Llc can be contacted via phone (409) 866-1429, or through Haney, Trey via phone (409) 769-2406.

Contact Information

Primary practice address
3110 Calder Ave. Beaumont TX 77702-1411
Fax: (409) 866-3735
Website:
Authorized official contact:
Name: Haney, Trey

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1124135538
LBN Legal business name Beaumont Pharmacy Llc
DBA Doing business as Malley'S Family Pharmacy
Authorized official Haney, Trey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124135538 NPPES
Texas Other 25742 STATE BOARD OF PHARMACY
Texas MEDICAID 149068 STATE BOARD OF PHARMACY

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