The Pharmacy Shop Ii

LBN: The Pharmacy Shop, Inc.
The Pharmacy Shop Ii is an health care organization with primary practice located at 1602 Rock Prairie Rd Suite 1000, College Station TX 77845-8306. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. The Pharmacy Shop, Inc. can be contacted via phone (979) 764-4100, or through Henneke, Judi via phone (979) 776-6800.

Contact Information

Primary practice address
1602 Rock Prairie Rd Suite 1000 College Station TX 77845-8306
Phone: (979) 764-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henneke, Judi R. PH.
Phone: (979) 776-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 24235 Texas

Profile Details

NPI number 1962484535
LBN Legal business name The Pharmacy Shop, Inc.
DBA Doing business as The Pharmacy Shop Ii
Authorized official Henneke, Judi R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1962484535 NPPES
Texas MEDICAID 145596

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