Redigers Pharmacy Inc

LBN: Redigers Pharmacy Inc
Redigers Pharmacy Inc is an health care organization with primary practice located at 724 S Eddy St , Pecos TX 79772-3727. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Redigers Pharmacy Inc can be contacted via phone (432) 445-4916, or through Rediger, John T via phone (432) 445-4916.

Contact Information

Primary practice address
724 S Eddy St Pecos TX 79772-3727
Phone: (432) 445-4916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rediger, John T
Phone: (432) 445-4916

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 12062 Texas

Profile Details

NPI number 1821123852
LBN Legal business name Redigers Pharmacy Inc
DBA Doing business as
Authorized official Rediger, John T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated May 13th, 2010 - about 15 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 1821123852 NPPES
Texas MEDICAID 145386201
Texas MEDICAID 011056101
Texas MEDICAID 143040

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