Davy Crockett Drug (Ltc)

LBN: Davy Crockett Drug, Inc.
Davy Crockett Drug (Ltc) is an health care organization with primary practice located at 107 S 4Th St , Crockett TX 75835-2024. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Davy Crockett Drug, Inc. can be contacted via phone (936) 544-2275, or through Martin, James Jeffrey via phone (936) 544-2275.

Contact Information

Primary practice address
107 S 4Th St Crockett TX 75835-2024
Phone: (936) 544-2275
Fax: (936) 544-3103
Website:
Map and Directions
Authorized official contact:
Name: Martin, James Jeffrey RPH
Phone: (936) 544-2275

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 04623 Texas

Profile Details

NPI number 1649752163
LBN Legal business name Davy Crockett Drug, Inc.
DBA Doing business as Davy Crockett Drug (Ltc)
Authorized official Martin, James Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2018
Last updated Aug 31st, 2018 - about 6 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 1649752163 NPPES
Texas MEDICAID 141598

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