City Drug Jefferson Texas Inc in Jefferson - Long Term Care Pharmacy
City Drug Jefferson Texas Inc - NPI 1386699130
City Drug Jefferson Texas Inc is a Long Term Care Pharmacy in Jefferson, Texas. City Drug Jefferson Texas Inc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for City Drug Jefferson Texas Inc is 1386699130. The last update date is 2019-10-08.
City Drug Jefferson Texas Inc's current location address is Po Box 856, Jefferson, Texas. You can contact this provider via phone number 9036652521 and fax number 9036657422. The mailing address for City Drug Jefferson Texas Inc is Po Box 856, Jefferson, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | City Drug Jefferson Texas Inc |
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Address | Po Box 856, Jefferson, Texas |
Phone Number | 9036652521 |
Fax Number | 9036657422 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bates Allen Brian |
Credentials | RPH |
Telephone Number | 9036652521 |
NPI Number Detail
NPI Number | 1386699130 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2019-10-08 |
Provider Mailing Address Detail
Address | Po Box 856 |
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City | Jefferson |
State | Texas (TX) |
Post Code | 756570856 |
Phone Number | 9036652521 |
Fax Number | 9036657422 |
Provider's Primary Taxonomy Detail
Speciality | Long Term Care Pharmacy |
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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 |
---|---|---|---|
17946601 | TX | -- | |
120423 | TX | -- |
Post Comment/ Review Below
What is the City Drug Jefferson Texas Inc's 1386699130?
The City Drug Jefferson Texas Inc's NPI (National Provider Identifier) Number is 1386699130. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where City Drug Jefferson Texas Inc is geographically located?
The City Drug Jefferson Texas Inc is physically situated at the following location: Po Box 856, Jefferson, TX, 756570856.
What is City Drug Jefferson Texas Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The City Drug Jefferson Texas Inc's area of specialization is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336L0003X.
On what date did the City Drug Jefferson Texas Inc receive the assignment of its 1386699130 from the Centers for Medicare & Medicaid Services?
The City Drug Jefferson Texas Inc was issued its 1386699130 by the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information pertaining to City Drug Jefferson Texas Inc most recently updated or revised?
The details related to City Drug Jefferson Texas Inc, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-08.
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