Medi-Drive Pharmacy Llc

LBN: Medi-Drive Pharmacy Llc
Medi-Drive Pharmacy Llc is an health care organization with primary practice located at 507 23Rd St , Canyon TX 79015-4043. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medi-Drive Pharmacy Llc can be contacted via phone (806) 655-1024, or through Bazaldua, Antonio via phone (806) 655-1024.

Contact Information

Primary practice address
507 23Rd St Canyon TX 79015-4043
Phone: (806) 655-1024
Fax: (806) 655-9762
Website:
Map and Directions
Authorized official contact:
Name: Bazaldua, Antonio
Phone: (806) 655-1024

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 31118 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962687251
LBN Legal business name Medi-Drive Pharmacy Llc
DBA Doing business as
Authorized official Bazaldua, Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2008
Last updated Apr 21st, 2017 - about 7 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 1962687251 NPPES
Other 2162163 PK

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