Pat Wood Drug Store

LBN: Q3Bl Pharmacy Llc
Pat Wood Drug Store is an health care organization with primary practice located at 3250 Central Mall Dr , Port Arthur TX 77642-8037. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Q3Bl Pharmacy Llc can be contacted via phone (409) 853-1685, or through Pham, Quynh Jeff via phone (409) 985-8874.

Contact Information

Primary practice address
3250 Central Mall Dr Port Arthur TX 77642-8037
Phone: (409) 853-1685
Fax: (409) 853-1713
Website:
Map and Directions
Authorized official contact:
Name: Pham, Quynh Jeff
Phone: (409) 985-8874

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 31497 Texas

Profile Details

NPI number 1407373186
LBN Legal business name Q3Bl Pharmacy Llc
DBA Doing business as Pat Wood Drug Store
Authorized official Pham, Quynh Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2017
Last updated Mar 7th, 2023 - about last year

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 1407373186 NPPES
Texas Other 5921817 NCPDP
Texas Other 31497 NCPDP

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