Medical Arts Pharmacy

LBN: Pecos Street Pharmacy, Inc.
Medical Arts Pharmacy is an health care organization with primary practice located at 2102 Pecos St Ste 4, San Angelo TX 76901-3061. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Pecos Street Pharmacy, Inc. can be contacted via phone (325) 949-4636, or through Eakman, Doyle Douglas via phone (325) 949-4636.

Contact Information

Primary practice address
2102 Pecos St Ste 4 San Angelo TX 76901-3061
Phone: (325) 949-4636
Fax: (325) 942-0761
Website:
Map and Directions
Authorized official contact:
Name: Eakman, Doyle Douglas R. PH.
Phone: (325) 949-4636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 01053 Texas

Profile Details

NPI number 1720081656
LBN Legal business name Pecos Street Pharmacy, Inc.
DBA Doing business as Medical Arts Pharmacy
Authorized official Eakman, Doyle Douglas R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Nov 9th, 2007 - about 18 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 1720081656 NPPES
Texas Other 4529965 NABP NUMBER
Texas MEDICAID 130205 NABP NUMBER

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