John Halsey Pharmacy

LBN: John Halsey Pharmacy
John Halsey Pharmacy is an health care organization with primary practice located at 4102 24Th St Ste 103, Lubbock TX 79410-1806. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. John Halsey Pharmacy can be contacted via phone (806) 795-8555, or through Pendarvis, Eric via phone (806) 795-8555.

Contact Information

Primary practice address
4102 24Th St Ste 103 Lubbock TX 79410-1806
Phone: (806) 795-8555
Fax: (806) 795-8555
Website:
Map and Directions
Authorized official contact:
Name: Pendarvis, Eric PHARMD
Phone: (806) 795-8555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 11706 Texas
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1225046956
LBN Legal business name John Halsey Pharmacy
DBA Doing business as
Authorized official Pendarvis, Eric PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1225046956 NPPES
Texas MEDICAID 120624
Texas Other 4526046

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