Brookstan Pharmacy Llc

LBN: Brookstan Pharmacy Llc
Brookstan Pharmacy Llc is an health care organization with primary practice located at 1215 S Coulter St Ste 101 , Amarillo TX 79106-1761. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Brookstan Pharmacy Llc can be contacted via phone (806) 350-7451, or through Mclean, Brooke M via phone (806) 350-7451.

Contact Information

Primary practice address
1215 S Coulter St Ste 101 Amarillo TX 79106-1761
Phone: (806) 350-7451
Fax: (806) 350-7454
Website:
Map and Directions
Authorized official contact:
Name: Mclean, Brooke M
Phone: (806) 350-7451

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1699447037
LBN Legal business name Brookstan Pharmacy Llc
DBA Doing business as
Authorized official Mclean, Brooke M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699447037 NPPES
Texas MEDICAID 148774

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