Bass Rutlrdge Drug

LBN: Bentley Pharmacy
Bass Rutlrdge Drug is an health care organization with primary practice located at 201 W Moore Ave , Terrell TX 75160-3115. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bentley Pharmacy can be contacted via phone (972) 563-3311, or through Bentley, Fred via phone (972) 563-3311.

Contact Information

Primary practice address
201 W Moore Ave Terrell TX 75160-3115
Phone: (972) 563-3311
Fax: (972) 563-5808
Website:
Map and Directions
Authorized official contact:
Name: Bentley, Fred
Phone: (972) 563-3311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Community/Retail Pharmacy 3336C0003X Texas

Profile Details

NPI number 1164592978
LBN Legal business name Bentley Pharmacy
DBA Doing business as Bass Rutlrdge Drug
Authorized official Bentley, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Dec 1st, 2009 - about 17 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 1164592978 NPPES
Texas MEDICAID 144388

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