<Unavail>

LBN: Brackettville Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 201 N Nixon Ave , Nixon TX 78140-2723. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Brackettville Pharmacy, Llc can be contacted via phone (830) 582-1851, or through Wyatt, Yankton S via phone (830) 563-9334.

Contact Information

Primary practice address
201 N Nixon Ave Nixon TX 78140-2723
Phone: (830) 582-1851
Fax: (830) 582-1357
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Yankton S
Phone: (830) 563-9334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1154486587
LBN Legal business name Brackettville Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Wyatt, Yankton S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 19th, 2021 - about 5 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 1154486587 NPPES
Other 2098543 PK
MEDICAID 149239 PK

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