Christus St Michael Health Care Center Pharmacy
LBN: Christus Health Ark-La-Tex
Christus St Michael Health Care Center Pharmacy is an health care organization with primary practice located at 2604 Saint Michael Dr Ste 200 , Texarkana TX 75503-2378. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Christus Health Ark-La-Tex can be contacted via phone (903) 614-2200, or through Adams, Jason Matthew via phone (702) 738-4546.
Contact Information
Primary practice address
2604 Saint Michael Dr Ste 200
Texarkana TX 75503-2378
Phone: (903) 614-2200
Fax: (903) 614-2868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 35349 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 19509 | Texas |
Profile Details
| NPI number | 1467591396 |
|---|---|
| LBN Legal business name | Christus Health Ark-La-Tex |
| DBA Doing business as | Christus St Michael Health Care Center Pharmacy |
| Authorized official | Adams, Jason Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | May 12th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467591396 | NPPES |
| Arkansas | MEDICAID | 145946407 | |
| Arkansas | MEDICAID | 144972 |
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