Jordan Pharmacy

LBN: Jordan Pharmacy Inc
Jordan Pharmacy is an health care organization with primary practice located at 107 N Rice St , Hamilton TX 76531-1857. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jordan Pharmacy Inc can be contacted via phone (254) 386-3111, or through Pattillo, Jan via phone (254) 386-3111.

Contact Information

Primary practice address
107 N Rice St Hamilton TX 76531-1857
Phone: (254) 386-3111
Fax: (254) 386-8844
Website:
Map and Directions
Authorized official contact:
Name: Pattillo, Jan RPH
Phone: (254) 386-3111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21958 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1578660411
LBN Legal business name Jordan Pharmacy Inc
DBA Doing business as Jordan Pharmacy
Authorized official Pattillo, Jan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578660411 NPPES
Other 2096994 PK
MEDICAID 0145199 PK

Popular Providers