City Drug Store Of Jacksboro, Inc in Jacksboro - Compounding Pharmacy
City Drug Store Of Jacksboro, Inc - NPI 1093827909
City Drug Store Of Jacksboro, Inc is a Compounding Pharmacy in Jacksboro, Texas. City Drug Store Of Jacksboro, Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for City Drug Store Of Jacksboro, Inc is 1093827909. The last update date is 2018-07-19.
City Drug Store Of Jacksboro, Inc's current location address is 104 E Belknap St, Jacksboro, Texas. You can contact this provider via phone number 9405675576 and fax number 9405673815. The mailing address for City Drug Store Of Jacksboro, Inc is 104 E Belknap St, Jacksboro, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | City Drug Store Of Jacksboro, Inc |
|---|---|
| Address | 104 E Belknap St, Jacksboro, Texas |
| Phone Number | 9405675576 |
| Fax Number | 9405673815 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hammond James |
| Credentials | RPH |
| Telephone Number | 9405675576 |
NPI Number Detail
| NPI Number | 1093827909 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
| Address | 104 E Belknap St |
|---|---|
| City | Jacksboro |
| State | Texas (TX) |
| Post Code | 764582401 |
| Phone Number | 9405675576 |
| Fax Number | 9405673815 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2097943 | PK | ||
| 120408 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to City Drug Store Of Jacksboro, Inc?
The City Drug Store Of Jacksboro, Inc has been issued the NPI (National Provider Identifier) 1093827909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where City Drug Store Of Jacksboro, Inc is geographically located?
The City Drug Store Of Jacksboro, Inc is physically situated at the following location: 104 E Belknap St, Jacksboro, TX, 764582401.
What is City Drug Store Of Jacksboro, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for City Drug Store Of Jacksboro, Inc is Compounding Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093827909 to City Drug Store Of Jacksboro, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1093827909 to City Drug Store Of Jacksboro, Inc on 2006-08-31.
When was the information regarding City Drug Store Of Jacksboro, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to City Drug Store Of Jacksboro, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-19.
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