<Unavail>

LBN: El Campo Professional Pharmacy
<Unavail> is an health care organization with primary practice located at 1264 N. Mechanic St. , El Campo TX 77437. 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. El Campo Professional Pharmacy can be contacted via phone (979) 543-2761, or through Muecke, Michael via phone (979) 244-1772.

Contact Information

Primary practice address
1264 N. Mechanic St. El Campo TX 77437
Phone: (979) 543-2761
Fax: (979) 543-2840
Website:
Map and Directions
Authorized official contact:
Name: Muecke, Michael RPH
Phone: (979) 244-1772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 28096 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X 28096

Profile Details

NPI number 1376565200
LBN Legal business name El Campo Professional Pharmacy
DBA Doing business as <Unavail>
Authorized official Muecke, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Sep 13th, 2012 - about 14 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 1376565200 NPPES
Other 4519053 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 110741 NCPDP PROVIDER IDENTIFICATION NUMBER

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