<Unavail>

LBN: Crystal Drug Lp
<Unavail> is an health care organization with primary practice located at 224 E Zavala St , Crystal City TX 78839-3512. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crystal Drug Lp can be contacted via phone (830) 374-3436, or through Gingrich, Colin via phone (281) 232-3940.

Contact Information

Primary practice address
224 E Zavala St Crystal City TX 78839-3512
Phone: (830) 374-3436
Fax: (830) 374-5573
Website:
Map and Directions
Authorized official contact:
Name: Gingrich, Colin
Phone: (281) 232-3940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 23104 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245345446
LBN Legal business name Crystal Drug Lp
DBA Doing business as <Unavail>
Authorized official Gingrich, Colin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2006
Last updated Apr 10th, 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 1245345446 NPPES
Other 2095090 PK
MEDICAID 471000 PK

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