Axtell Pharmacy
LBN: First Lone Star Pharmacy Group Iv Llc
Axtell Pharmacy is an health care organization with primary practice located at 1246 S Highway 377 Ste 100, Pilot Point TX 76258-4353. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
First Lone Star Pharmacy Group Iv Llc can be contacted via phone (940) 686-2218, or through Elliott, Mark via phone (214) 521-9991.
Contact Information
Primary practice address
1246 S Highway 377 Ste 100
Pilot Point TX 76258-4353
Phone: (940) 686-2218
Fax: (940) 686-9286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 29669 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1174594451 |
|---|---|
| LBN Legal business name | First Lone Star Pharmacy Group Iv Llc |
| DBA Doing business as | Axtell Pharmacy |
| Authorized official | Elliott, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 12th, 2024 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174594451 | NPPES |
| Other | 2146341 | PK | |
| MEDICAID | 141751 | PK |
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