Shallowater Pharmacy, Llc in Shallowater - Community/retail Pharmacy
Shallowater Pharmacy, Llc - NPI 1396947024
Shallowater Pharmacy, Llc is a Community/retail Pharmacy in Shallowater, Texas. Shallowater Pharmacy, Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Shallowater Pharmacy, Llc is 1396947024. The last update date is 2013-03-07.
Shallowater Pharmacy, Llc's current location address is Po Box 1129, Shallowater, Texas. You can contact this provider via phone number 8068320250 and fax number 8068320251. The mailing address for Shallowater Pharmacy, Llc is Po Box 1129, Shallowater, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shallowater Pharmacy, Llc |
|---|---|
| Address | Po Box 1129, Shallowater, Texas |
| Phone Number | 8068320250 |
| Fax Number | 8068320251 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pratt Glenn Micah |
| Credentials | PHARM D |
| Telephone Number | 8063854491 |
NPI Number Detail
| NPI Number | 1396947024 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2013-03-07 |
Provider Mailing Address Detail
| Address | Po Box 1129 |
|---|---|
| City | Shallowater |
| State | Texas (TX) |
| Post Code | 793631129 |
| Phone Number | 8068320250 |
| Fax Number | 8068320251 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 28431 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the unique 10-digit identification code issued to Shallowater Pharmacy, Llc by the Centers for Medicare & Medicaid Services?
The Shallowater Pharmacy, Llc has been assigned the NPI (National Provider Identifier) 1396947024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shallowater Pharmacy, Llc located?
The Shallowater Pharmacy, Llc is located at Po Box 1129, Shallowater, TX 793631129.
What is Shallowater Pharmacy, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shallowater Pharmacy, Llc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396947024 to Shallowater Pharmacy, Llc?
The Shallowater Pharmacy, Llc received its 1396947024 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the Shallowater Pharmacy, Llc's information last updated?
The Shallowater Pharmacy, Llc's information was last updated on 2013-03-07.