Eagle Lake Drug Store

LBN: Eagle Lake Drugstore
Eagle Lake Drug Store is an health care organization with primary practice located at 702 S Mccarty Ave , Eagle Lake TX 77434-3212. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Augmentative Communication, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eagle Lake Drugstore can be contacted via phone (979) 234-2502, or through Zarate, Sammi L via phone (979) 234-2502.

Contact Information

Primary practice address
702 S Mccarty Ave Eagle Lake TX 77434-3212
Phone: (979) 234-2502
Fax: (979) 234-5005
Website:
Map and Directions
Authorized official contact:
Name: Zarate, Sammi L
Phone: (979) 234-2502

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Augmentative Communication 261QA3000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11754 Texas

Profile Details

NPI number 1568509974
LBN Legal business name Eagle Lake Drugstore
DBA Doing business as Eagle Lake Drug Store
Authorized official Zarate, Sammi L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 12th, 2024 - about 3 months 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 1568509974 NPPES
Texas MEDICAID 108467501
Texas Other 2095769

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