Community Pharmacy

LBN: Community Pharmacy
Community Pharmacy is an health care organization with primary practice located at 3520 Knickerbocker Rd Ste A , San Angelo TX 76904-7601. 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. Community Pharmacy can be contacted via phone (325) 949-4577, or through Daniel, Marty via phone (325) 949-4577.

Contact Information

Primary practice address
3520 Knickerbocker Rd Ste A San Angelo TX 76904-7601
Phone: (325) 949-4577
Fax: (325) 224-0997
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Marty RPH
Phone: (325) 949-4577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13817 Texas

Profile Details

NPI number 1952415945
LBN Legal business name Community Pharmacy
DBA Doing business as Community Pharmacy
Authorized official Daniel, Marty RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Feb 20th, 2017 - about 9 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 1952415945 NPPES
Other 2099101 PK
MEDICAID 143638 PK

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