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
Address Po Box 856, Jefferson, Texas
Phone Number 9036652521
Fax Number 9036657422
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bates Allen Brian
Credentials RPH
Telephone Number 9036652521

NPI Number Detail

NPI Number 1386699130
Provider Enumeration Date 2006-05-23
Last Updated Date 2019-10-08

Provider Mailing Address Detail

Address Po Box 856
City Jefferson
State Texas (TX)
Post Code 756570856
Phone Number 9036652521
Fax Number 9036657422

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
17946601 TX --
120423 TX --

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FAQs about City Drug Jefferson Texas Inc

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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