Hudman Drug Store
LBN: Travis C. Meitzen,Jr Hudman Drug
Hudman Drug Store is an health care organization with primary practice located at 201 N Main St , San Angelo TX 76903-4841. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Travis C. Meitzen,Jr Hudman Drug can be contacted via phone (325) 655-6961, or through Meitzen, Jr, Travis Charles via phone (325) 655-6961.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 19477 | Texas |
Profile Details
| NPI number | 1376629865 |
|---|---|
| LBN Legal business name | Travis C. Meitzen,Jr Hudman Drug |
| DBA Doing business as | Hudman Drug Store |
| Authorized official | Meitzen, Jr, Travis Charles R PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 17th, 2008 - about 16 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 | 1376629865 | NPPES |
| Other | 4529939 | OTHER ID NUMBER | |
| MEDICAID | 144859 | OTHER ID NUMBER |
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