Spence'S Medical Center Pharmacy
LBN: Spence'S Medical Center Pharmacy
Spence'S Medical Center Pharmacy is an health care organization with primary practice located at 215 Oak Dr S Ste M, Lake Jackson TX 77566-5629. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Spence'S Medical Center Pharmacy can be contacted via phone (979) 297-1776, or through Spence, David via phone (979) 297-1776.
Contact Information
Primary practice address
215 Oak Dr S Ste M
Lake Jackson TX 77566-5629
Phone: (979) 297-1776
Fax: (979) 297-8877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28935 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1750380556 |
|---|---|
| LBN Legal business name | Spence'S Medical Center Pharmacy |
| DBA Doing business as | Spence'S Medical Center Pharmacy |
| Authorized official | Spence, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750380556 | NPPES |
| Other | 2141422 | PK | |
| MEDICAID | 144047 | PK |
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