Davy Crockett Drug, Inc.
LBN: Davy Crockett Drug, Inc.
Davy Crockett Drug, Inc. is an health care organization with primary practice located at 107 S 4Th St , Crockett TX 75835. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Davy Crockett Drug, Inc. can be contacted via phone (936) 544-2275, or through Martin, James J via phone (936) 544-2275.
Contact Information
Primary practice address
107 S 4Th St
Crockett TX 75835
Phone: (936) 544-2275
Fax: (936) 206-7696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 04623 | Texas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 4623 | Texas |
Profile Details
| NPI number | 1407944382 |
|---|---|
| LBN Legal business name | Davy Crockett Drug, Inc. |
| DBA Doing business as | |
| Authorized official | Martin, James J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Dec 10th, 2020 - about 4 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 | 1407944382 | NPPES |
| Texas | MEDICAID | 141598 | |
| Texas | Other | 4516893 |
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