Pecos Street Pharmacy, Inc. in San Angelo - Pharmacy
Pecos Street Pharmacy, Inc. - NPI 1720081656
Pecos Street Pharmacy, Inc. is a Pharmacy in San Angelo, Texas. Pecos Street Pharmacy, Inc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Pecos Street Pharmacy, Inc. is 1720081656. The last update date is 2007-11-09.
Pecos Street Pharmacy, Inc.'s current location address is 2102 Pecos St, San Angelo, Texas. You can contact this provider via phone number 3259494636 and fax number 3259420761. The mailing address for Pecos Street Pharmacy, Inc. is 2102 Pecos St, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pecos Street Pharmacy, Inc. |
|---|---|
| Address | 2102 Pecos St, San Angelo, Texas |
| Phone Number | 3259494636 |
| Fax Number | 3259420761 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eakman Douglas Doyle |
| Credentials | R. PH. |
| Telephone Number | 3259494636 |
NPI Number Detail
| NPI Number | 1720081656 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 2102 Pecos St |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 7690130610 |
| Phone Number | 3259494636 |
| Fax Number | 3259420761 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 1053 |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4529965 | TX | NABP NUMBER | |
| 130205 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pecos Street Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The Pecos Street Pharmacy, Inc. has been issued the NPI (National Provider Identifier) 1720081656, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pecos Street Pharmacy, Inc. is physically located?
The Pecos Street Pharmacy, Inc. is situated at the following address: 2102 Pecos St, San Angelo, TX 7690130610.
What is Pecos Street Pharmacy, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Pecos Street Pharmacy, Inc.'s area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did Pecos Street Pharmacy, Inc. receive its 1720081656 assignment from the Centers for Medicare & Medicaid Services?
The Pecos Street Pharmacy, Inc. was assigned its 1720081656 on 2005-05-24, 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 Pecos Street Pharmacy, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pecos Street Pharmacy, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-09.
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