Service Drug Of Midland #1

LBN: Haynes-Davis Inc
Service Drug Of Midland #1 is an health care organization with primary practice located at 4416 Briarwood Ave Ste 100, Midland TX 79707-2615. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Haynes-Davis Inc can be contacted via phone (432) 697-7378, or through Davis, John via phone (432) 682-2519.

Contact Information

Primary practice address
4416 Briarwood Ave Ste 100 Midland TX 79707-2615
Fax: (432) 618-0776
Website:
Authorized official contact:
Name: Davis, John BSPHARM

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 25760 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1841488053
LBN Legal business name Haynes-Davis Inc
DBA Doing business as Service Drug Of Midland #1
Authorized official Davis, John BSPHARM
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Apr 13th, 2009 - about 15 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 1841488053 NPPES
Other 4546187 NCPDP PROVIDER IDENTIFICATION NUMBER

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