Kelly Drug Inc

LBN: Kelly Drug Inc
Kelly Drug Inc is an health care organization with primary practice located at 125 E Broad St , Mineola TX 75773-2001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kelly Drug Inc can be contacted via phone (903) 569-3882, or through Williams, Kelly via phone (903) 569-3882.

Contact Information

Primary practice address
125 E Broad St Mineola TX 75773-2001
Phone: (903) 569-3882
Fax: (903) 569-3868
Website:
Map and Directions
Authorized official contact:
Name: Williams, Kelly RPH
Phone: (903) 569-3882

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21556 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1467564377
LBN Legal business name Kelly Drug Inc
DBA Doing business as Kelly Drug Inc
Authorized official Williams, Kelly RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 19th, 2018 - about 6 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 1467564377 NPPES
Texas MEDICAID 145183
Texas Other 2097422

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