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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225046956 | NPPES |
Texas | MEDICAID | 120624 | |
Texas | Other | 4526046 |
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