Stephenson Pharmacy
LBN: Stephenson Pharmacy
Stephenson Pharmacy is an health care organization with primary practice located at 1000 S Fleishel Ave , Tyler TX 75701-2037. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Stephenson Pharmacy can be contacted via phone (903) 593-0236, or through Healy, Patrick J via phone (903) 593-0236.
Contact Information
Primary practice address
1000 S Fleishel Ave
Tyler TX 75701-2037
Phone: (903) 593-0236
Fax: (903) 593-9375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 25664 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1326152315 |
|---|---|
| LBN Legal business name | Stephenson Pharmacy |
| DBA Doing business as | |
| Authorized official | Healy, Patrick J R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326152315 | NPPES |
| Texas | MEDICAID | C08420064 | |
| Texas | MEDICAID | 010403601 | |
| Texas | Other | 4552027 | |
| Texas | Other | 4552027 |
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