The Kraege Drug Store

LBN: Kraege Drug Store
The Kraege Drug Store is an health care organization with primary practice located at 113 E Main St , Yorktown TX 78164-2030. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kraege Drug Store can be contacted via phone (361) 564-2216, or through Kraege, Thomas via phone (361) 564-2216.

Contact Information

Primary practice address
113 E Main St Yorktown TX 78164-2030
Phone: (361) 564-2216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kraege, Thomas
Phone: (361) 564-2216

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00293 Texas

Profile Details

NPI number 1053462838
LBN Legal business name Kraege Drug Store
DBA Doing business as The Kraege Drug Store
Authorized official Kraege, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 28th, 2016 - about 8 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 1053462838 NPPES
Texas Other 4534055 NCPDP NUMBER
Texas MEDICAID 0185774-01 NCPDP NUMBER
Texas MEDICAID 130669 NCPDP NUMBER

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