Pat Wood Drug Store

LBN: Q3Bl Pharmacy Llc
Pat Wood Drug Store is an health care organization with primary practice located at 3648 Gulfway Dr , Port Arthur TX 77642-3674. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Q3Bl Pharmacy Llc can be contacted via phone (409) 985-8874, or through Pham, Quynh via phone (409) 985-8874.

Contact Information

Primary practice address
3648 Gulfway Dr Port Arthur TX 77642-3674
Phone: (409) 985-8874
Fax: (409) 985-6568
Website:
Map and Directions
Authorized official contact:
Name: Pham, Quynh
Phone: (409) 985-8874

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 23989 Texas

Profile Details

NPI number 1467566455
LBN Legal business name Q3Bl Pharmacy Llc
DBA Doing business as Pat Wood Drug Store
Authorized official Pham, Quynh
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 23rd, 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 1467566455 NPPES
Texas MEDICAID 066691902
Texas MEDICAID 145523
Texas Other 2090996
Texas MEDICAID 066691903

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