<Unavail>

LBN: Gary King Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1600 Coulter Dr Ste 307, Amarillo TX 79106-1718. 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. Gary King Pharmacy Inc can be contacted via phone (806) 358-4576, or through Priebe, Paul via phone (806) 358-4576.

Contact Information

Primary practice address
1600 Coulter Dr Ste 307 Amarillo TX 79106-1718
Phone: (806) 358-4576
Fax: (806) 358-4323
Website:
Map and Directions
Authorized official contact:
Name: Priebe, Paul RPH
Phone: (806) 358-4576

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4755 Texas

Profile Details

NPI number 1104823582
LBN Legal business name Gary King Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Priebe, Paul RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104823582 NPPES
Other 2093286 PK
MEDICAID 111369801 PK
MEDICAID 111369803 PK
MEDICAID 111369802 PK
MEDICAID 013676401 PK

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