<Unavail>

LBN: Boyles Bandera Pharmacy
<Unavail> is an health care organization with primary practice located at 1200 Sycamore St , Bandera TX 78003-2020. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Boyles Bandera Pharmacy can be contacted via phone (830) 796-8191, or through Mullins, Robert via phone (830) 796-8181.

Contact Information

Primary practice address
1200 Sycamore St Bandera TX 78003-2020
Phone: (830) 796-8191
Fax: (830) 796-8204
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Robert RPH
Phone: (830) 796-8181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 12543 Texas

Profile Details

NPI number 1013010156
LBN Legal business name Boyles Bandera Pharmacy
DBA Doing business as <Unavail>
Authorized official Mullins, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Feb 12th, 2010 - about 16 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 1013010156 NPPES
Texas MEDICAID 143183
Texas Other 4569868

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