<Unavail>

LBN: Crystal City Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1313 Veterans Ave Ste I , Crystal City TX 78839-1651. 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. Crystal City Pharmacy Llc can be contacted via phone (830) 255-2201, or through Kalidindi, Prem via phone (917) 769-8014.

Contact Information

Primary practice address
1313 Veterans Ave Ste I Crystal City TX 78839-1651
Phone: (830) 255-2201
Fax: (830) 448-2020
Website:
Map and Directions
Authorized official contact:
Name: Kalidindi, Prem
Phone: (917) 769-8014

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31441 Texas

Profile Details

NPI number 1548786395
LBN Legal business name Crystal City Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Kalidindi, Prem
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2017
Last updated Dec 18th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548786395 NPPES
Other 2170975 PK
MEDICAID 149678 PK

Popular Providers