Cleburne Pharmacy

LBN: Cleburne Pharmacy Llc
Cleburne Pharmacy is an health care organization with primary practice located at 875 Ross St , Heflin AL 36264-1131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cleburne Pharmacy Llc can be contacted via phone (256) 463-2197, or through Tant, Frank via phone (256) 463-2197.

Contact Information

Primary practice address
875 Ross St Heflin AL 36264-1131
Phone: (256) 463-2197
Fax: (256) 463-2306
Website:
Map and Directions
Authorized official contact:
Name: Tant, Frank PHARMD
Phone: (256) 463-2197

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 102545 Alabama

Profile Details

NPI number 1649203365
LBN Legal business name Cleburne Pharmacy Llc
DBA Doing business as Cleburne Pharmacy
Authorized official Tant, Frank PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated May 20th, 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 1649203365 NPPES
Other 2157998 PK
MEDICAID 100000653 PK

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