Goose Creek Pharmacy

LBN: Goose Creek Pharmacy Llc
Goose Creek Pharmacy is an health care organization with primary practice located at 2007 N Main St , Baytown TX 77520-2746. 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. Goose Creek Pharmacy Llc can be contacted via phone (281) 838-8640, or through Terry, Jeffrey via phone (281) 838-8640.

Contact Information

Primary practice address
2007 N Main St Baytown TX 77520-2746
Phone: (281) 838-8640
Fax: (281) 628-7970
Website:
Map and Directions
Authorized official contact:
Name: Terry, Jeffrey
Phone: (281) 838-8640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 30867 Texas

Profile Details

NPI number 1104370659
LBN Legal business name Goose Creek Pharmacy Llc
DBA Doing business as Goose Creek Pharmacy
Authorized official Terry, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Jul 19th, 2018 - about 8 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 1104370659 NPPES
Other 2162475 PK
MEDICAID 149527 PK

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