Pharm House Drug - La Grange Llc

LBN: Kaks Healthcare, Llc
Pharm House Drug - La Grange Llc is an health care organization with primary practice located at 110 E Travis St , La Grange TX 78945-2615. 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. Kaks Healthcare, Llc can be contacted via phone (979) 968-5835, or through Kubosh, Kristi Ann via phone (979) 218-4735.

Contact Information

Primary practice address
110 E Travis St La Grange TX 78945-2615
Phone: (979) 968-5835
Fax: (979) 968-8580
Website:
Map and Directions
Authorized official contact:
Name: Kubosh, Kristi Ann PHARMD
Phone: (979) 218-4735

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31766 Texas

Profile Details

NPI number 1588162960
LBN Legal business name Kaks Healthcare, Llc
DBA Doing business as Pharm House Drug - La Grange Llc
Authorized official Kubosh, Kristi Ann PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2018
Last updated Sep 21st, 2022 - about 4 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 1588162960 NPPES
Other 2175714 PK
MEDICAID 149786 PK

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