City Drug Jefferson Texas Inc
LBN: City Drug Jefferson Texas Inc
City Drug Jefferson Texas Inc is an health care organization with primary practice located at 109 W Lafayette St , Jefferson TX 75657-2205. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
City Drug Jefferson Texas Inc can be contacted via phone (903) 665-2521, or through Bates, Brian Allen via phone (903) 665-2521.
Contact Information
Primary practice address
109 W Lafayette St
Jefferson TX 75657-2205
Phone: (903) 665-2521
Fax: (903) 665-7422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00141 | Texas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1386699130 |
|---|---|
| LBN Legal business name | City Drug Jefferson Texas Inc |
| DBA Doing business as | |
| Authorized official | Bates, Brian Allen RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 8th, 2019 - about 5 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 | 1386699130 | NPPES |
| Texas | MEDICAID | 17946601 | |
| Texas | MEDICAID | 120423 |
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