Brickstreet Pharmacy

LBN: Abeldt Enterprises Inc
Brickstreet 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 / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Abeldt Enterprises Inc can be contacted via phone (903) 533-8155, or through Abeldt, Jeffrey V 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 V RPH
Phone: (903) 533-8155

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 006419 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X 21015 Texas

Profile Details

NPI number 1659406734
LBN Legal business name Abeldt Enterprises Inc
DBA Doing business as Brickstreet Pharmacy
Authorized official Abeldt, Jeffrey V RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 12th, 2024 - about 2 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 1659406734 NPPES
Texas MEDICAID 1455244801
Texas Other 530989
Texas MEDICAID 145088

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