Kings Compounding Pharmacy
LBN: Gary King Pharmacy Inc
Kings Compounding Pharmacy is an health care organization with primary practice located at 1600 Coulter Dr Ste 307, Amarillo TX 79106-1718. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gary King Pharmacy Inc can be contacted via phone (806) 358-4576, or through Johnson, Robin via phone (806) 358-4576.
Contact Information
Primary practice address
1600 Coulter Dr Ste 307
Amarillo TX 79106-1718
Phone: (806) 358-4576
Fax: (806) 358-4323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4755 | Texas |
Profile Details
| NPI number | 1104823582 |
|---|---|
| LBN Legal business name | Gary King Pharmacy Inc |
| DBA Doing business as | Kings Compounding Pharmacy |
| Authorized official | Johnson, Robin RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 9th, 2016 - about 8 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 | 1104823582 | NPPES |
| Other | 2093286 | PK | |
| MEDICAID | 111369803 | PK | |
| MEDICAID | 013676401 | PK | |
| MEDICAID | 111369801 | PK | |
| MEDICAID | 111369802 | PK |
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