Main St. Pharmacy

LBN: Lummus Pharm Inc
Main St. Pharmacy is an health care organization with primary practice located at 902 N Main St , San Angelo TX 76903-4077. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lummus Pharm Inc can be contacted via phone (325) 658-7555, or through Lummus, Sara via phone (325) 658-7555.

Contact Information

Primary practice address
902 N Main St San Angelo TX 76903-4077
Fax: (325) 653-3224
Website:
Authorized official contact:
Name: Lummus, Sara PHD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X 27017 Texas

Profile Details

NPI number 1346386968
LBN Legal business name Lummus Pharm Inc
DBA Doing business as Main St. Pharmacy
Authorized official Lummus, Sara PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 18th, 2017 - 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 1346386968 NPPES
Other 2106058 PK
MEDICAID 350086 PK

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