Houston St Pharmacy in Tyler - Community/retail Pharmacy

Houston St Pharmacy - NPI 1295800878

Houston St Pharmacy is a Community/retail Pharmacy in Tyler, Texas. Houston St Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Houston St Pharmacy is 1295800878. The last update date is 2009-04-15.

Houston St Pharmacy's current location address is 210 W Houston St, Tyler, Texas. You can contact this provider via phone number 9035268030 and fax number 9035268031. The mailing address for Houston St Pharmacy is 210 W Houston St, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Houston St Pharmacy
Address 210 W Houston St, Tyler, Texas
Phone Number 9035268030
Fax Number 9035268031
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GM
Authorized Official Name Barron Ann Lea
Credentials RN, MSN, F
Telephone Number 9035268030

NPI Number Detail

NPI Number 1295800878
Provider Enumeration Date 2006-11-21
Last Updated Date 2009-04-15

Provider Mailing Address Detail

Address 210 W Houston St
City Tyler
State Texas (TX)
Post Code 757028136
Phone Number 9035268030
Fax Number 9035268031

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 25313
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
145743 TX --
4543268 NCPDP PROVIDER IDENTIFICATION

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FAQs about Houston St Pharmacy

What is the unique 10-digit identification code issued to Houston St Pharmacy by the Centers for Medicare & Medicaid Services?

The Houston St Pharmacy has been assigned the NPI (National Provider Identifier) 1295800878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Houston St Pharmacy is geographically located?

The Houston St Pharmacy is physically situated at the following location: 210 W Houston St, Tyler, TX, 757028136.

What is Houston St Pharmacy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Houston St Pharmacy is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.

On what date did the Houston St Pharmacy receive the assignment of its 1295800878 from the Centers for Medicare & Medicaid Services?

The Houston St Pharmacy was issued its 1295800878 by the Centers for Medicare & Medicaid Services on 2006-11-21.

As of what date was the information pertaining to Houston St Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Houston St Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-15.

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