<Unavail>

LBN: Cip Northside Llc
<Unavail> is an health care organization with primary practice located at 1640 State Highway 351 , Abilene TX 79601-4746. 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. Cip Northside Llc can be contacted via phone (325) 704-4208, or through Clark, Cody via phone (806) 773-5958.

Contact Information

Primary practice address
1640 State Highway 351 Abilene TX 79601-4746
Phone: (325) 704-4208
Fax: (325) 305-0565
Website:
Map and Directions
Authorized official contact:
Name: Clark, Cody PHARMD
Phone: (806) 773-5958

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31261 Texas

Profile Details

NPI number 1831635697
LBN Legal business name Cip Northside Llc
DBA Doing business as <Unavail>
Authorized official Clark, Cody PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Apr 24th, 2020 - about 6 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 1831635697 NPPES
Other 2167749 PK

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