Fikes Boomtown Drug in Burkburnett - Long Term Care Pharmacy
Fikes Boomtown Drug - NPI 1902004112
Fikes Boomtown Drug is a Long Term Care Pharmacy in Burkburnett, Texas. Fikes Boomtown Drug practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Fikes Boomtown Drug is 1902004112. The last update date is 2023-03-07.
Fikes Boomtown Drug's current location address is Po Box 805, Burkburnett, Texas. You can contact this provider via phone number 9405695600 and fax number 9405695608. The mailing address for Fikes Boomtown Drug is Po Box 805, Burkburnett, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fikes Boomtown Drug |
|---|---|
| Address | Po Box 805, Burkburnett, Texas |
| Phone Number | 9405695600 |
| Fax Number | 9405695608 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fikes Gene Cory |
| Credentials | D.PH. |
| Telephone Number | 9405695600 |
NPI Number Detail
| NPI Number | 1902004112 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 805 |
|---|---|
| City | Burkburnett |
| State | Texas (TX) |
| Post Code | 763540805 |
| Phone Number | 9405695600 |
| Fax Number | 9405695608 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25627 | TX | STATE LICENSE # | |
| 200114870A | OK | -- | |
| 4545351 | TX | NCPDP NUMBER | |
| 145823 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fikes Boomtown Drug by the Centers for Medicare & Medicaid Services?
The Fikes Boomtown Drug has been issued the NPI (National Provider Identifier) 1902004112, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Fikes Boomtown Drug?
The Fikes Boomtown Drug is physically situated at Po Box 805, in the city of Burkburnett, state of TX, with the postal code 763540805.
What is Fikes Boomtown Drug's area of expertise and its corresponding taxonomy classification?
The Fikes Boomtown Drug's field of specialization is Long Term Care Pharmacy, and it falls under the taxonomy code 3336L0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Fikes Boomtown Drug receive its 1902004112 assignment from the Centers for Medicare & Medicaid Services?
The Fikes Boomtown Drug was assigned its 1902004112 by the Centers for Medicare & Medicaid Services on 2007-07-10.
As of what date were the Fikes Boomtown Drug's details last updated?
The information pertaining to the Fikes Boomtown Drug, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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