Stagecoach Pharmacy

LBN: Stagecoach Pharmacy
Stagecoach Pharmacy is an health care organization with primary practice located at 1300 Dacy Ln Ste 225 , Kyle TX 78640-4196. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stagecoach Pharmacy can be contacted via phone (512) 746-1888, or through Carracedo, Richard via phone (512) 401-7874.

Contact Information

Primary practice address
1300 Dacy Ln Ste 225 Kyle TX 78640-4196
Fax: (512) 504-9976
Website:
Authorized official contact:
Name: Carracedo, Richard

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31007 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1831646645
LBN Legal business name Stagecoach Pharmacy
DBA Doing business as Stagecoach Pharmacy
Authorized official Carracedo, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2016
Last updated Nov 21st, 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 1831646645 NPPES
Other 2164162 PK

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