Medicine Chest #116

LBN: Ennis Pharmacy Inc
Medicine Chest #116 is an health care organization with primary practice located at 411 Main St , Sulphur Springs TX 75482-2762. 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. Ennis Pharmacy Inc can be contacted via phone (903) 885-0821, or through Weaver, Joe via phone (903) 885-0821.

Contact Information

Primary practice address
411 Main St Sulphur Springs TX 75482-2762
Phone: (903) 885-0821
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Joe RPH
Phone: (903) 885-0821

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21464 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1366431751
LBN Legal business name Ennis Pharmacy Inc
DBA Doing business as Medicine Chest #116
Authorized official Weaver, Joe RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2005
Last updated Aug 26th, 2013 - about 11 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 1366431751 NPPES
Other 2101271 PK
MEDICAID 145148 PK

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