Alfords Pharmacy

LBN: Jerry L Philmon
Alfords Pharmacy is an health care organization with primary practice located at 5897 W Port Arthur Rd , Port Arthur TX 77640-1754. 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. Jerry L Philmon can be contacted via phone (409) 736-2277, or through Odom, Orville via phone (409) 736-2277.

Contact Information

Primary practice address
5897 W Port Arthur Rd Port Arthur TX 77640-1754
Phone: (409) 736-2277
Fax: (409) 736-2854
Website:
Map and Directions
Authorized official contact:
Name: Odom, Orville
Phone: (409) 736-2277

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00859 Texas

Profile Details

NPI number 1609980697
LBN Legal business name Jerry L Philmon
DBA Doing business as Alfords Pharmacy
Authorized official Odom, Orville
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 14th, 2010 - about 14 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 1609980697 NPPES
Texas MEDICAID 140074
Texas Other 4537936

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