Specialty Shoes & Diabetic Supplies

LBN: Specialized Pharmacy Services, Inc.
Specialty Shoes & Diabetic Supplies is an health care organization with primary practice located at 7645 Phelan Blvd , Beaumont TX 77706-5753. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Specialized Pharmacy Services, Inc. can be contacted via phone (409) 832-8750, or through Flanakin, Donna C via phone (409) 832-8750.

Contact Information

Primary practice address
7645 Phelan Blvd Beaumont TX 77706-5753
Fax: (409) 866-7996
Website:
Authorized official contact:
Name: Flanakin, Donna C

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1184679177
LBN Legal business name Specialized Pharmacy Services, Inc.
DBA Doing business as Specialty Shoes & Diabetic Supplies
Authorized official Flanakin, Donna C
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Jan 20th, 2009 - 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 1184679177 NPPES
Texas Other 515247 BLUE CROSS BLUE SHIELD
Texas MEDICAID 087291301 BLUE CROSS BLUE SHIELD
Texas MEDICAID 016053301 BLUE CROSS BLUE SHIELD

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