Aledo Medicine Store Inc

LBN: Aledo Medicine Store Inc
Aledo Medicine Store Inc is an health care organization with primary practice located at 621 North F M 1187 , Aledo TX 76008-4206. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Aledo Medicine Store Inc can be contacted via phone (817) 441-2702, or through Hall, Preston via phone (817) 441-2702.

Contact Information

Primary practice address
621 North F M 1187 Aledo TX 76008-4206
Phone: (817) 441-2702
Fax: (817) 441-2708
Website:
Map and Directions
Authorized official contact:
Name: Hall, Preston PHARMD
Phone: (817) 441-2702

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 23774 Texas
Suppliers / Compounding Pharmacy 3336C0004X 23774 Texas

Profile Details

NPI number 1245360700
LBN Legal business name Aledo Medicine Store Inc
DBA Doing business as
Authorized official Hall, Preston PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 5th, 2014 - about 12 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 1245360700 NPPES
Texas MEDICAID 145493

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