Brick Street Pharmacy

LBN: Abeldt Enterprises
Brick Street Pharmacy is an health care organization with primary practice located at 314 W Rusk St , Tyler TX 75701-1513. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Abeldt Enterprises can be contacted via phone (903) 533-8155, or through Abeldt, Jeffrey via phone (903) 533-8155.

Contact Information

Primary practice address
314 W Rusk St Tyler TX 75701-1513
Phone: (903) 533-8155
Fax: (903) 533-8158
Website:
Map and Directions
Authorized official contact:
Name: Abeldt, Jeffrey RPH
Phone: (903) 533-8155

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21015 Texas

Profile Details

NPI number 1407874936
LBN Legal business name Abeldt Enterprises
DBA Doing business as Brick Street Pharmacy
Authorized official Abeldt, Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 24th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407874936 NPPES
Other 2104357 PK
MEDICAID 145088 PK

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