Eagle Lake Drugstore in Eagle Lake - Durable Medical Equipment & Medical Supplies
Eagle Lake Drugstore - NPI 1568509974
Eagle Lake Drugstore is a Durable Medical Equipment & Medical Supplies in Eagle Lake, Texas. Eagle Lake Drugstore practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Eagle Lake Drugstore is 1568509974. The last update date is 2022-02-10.
Eagle Lake Drugstore's current location address is 702 S Mccarty Ave, Eagle Lake, Texas. You can contact this provider via phone number 9792342502 and fax number 9792345005. The mailing address for Eagle Lake Drugstore is 702 S Mccarty Ave, Eagle Lake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Lake Drugstore |
|---|---|
| Address | 702 S Mccarty Ave, Eagle Lake, Texas |
| Phone Number | 9792342502 |
| Fax Number | 9792345005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY M |
|---|---|
| Authorized Official Name | Zarate L Sammi |
| Telephone Number | 9792342502 |
NPI Number Detail
| NPI Number | 1568509974 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2022-02-10 |
Provider Mailing Address Detail
| Address | 702 S Mccarty Ave |
|---|---|
| City | Eagle Lake |
| State | Texas (TX) |
| Post Code | 774343212 |
| Phone Number | 9792342502 |
| Fax Number | 9792345005 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2095769 | PK | ||
| 108467501 | TX | -- |
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What is the unique 10-digit identification code assigned to Eagle Lake Drugstore by the Centers for Medicare & Medicaid Services?
The Eagle Lake Drugstore has been issued the NPI (National Provider Identifier) 1568509974, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eagle Lake Drugstore located?
The Eagle Lake Drugstore is located at 702 S Mccarty Ave, Eagle Lake, TX 774343212.
What is the Eagle Lake Drugstore's specialty and taxonomy code?
The Eagle Lake Drugstore's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did Eagle Lake Drugstore receive its 1568509974 assignment from the Centers for Medicare & Medicaid Services?
The Eagle Lake Drugstore was assigned its 1568509974 on 2007-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Eagle Lake Drugstore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eagle Lake Drugstore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-10.