Northwest Pharmacy

LBN: Matoke Incorporated Southside Pharmacy
Northwest Pharmacy is an health care organization with primary practice located at 14041 Northwest Blvd Ste 2B, Corpus Christi TX 78410-5137. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Matoke Incorporated Southside Pharmacy can be contacted via phone (361) 767-1300, or through Matoke, Eric via phone (972) 207-0247.

Contact Information

Primary practice address
14041 Northwest Blvd Ste 2B Corpus Christi TX 78410-5137
Phone: (361) 767-1300
Fax: (361) 767-8888
Website:
Map and Directions
Authorized official contact:
Name: Matoke, Eric RPH
Phone: (972) 207-0247

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 25349 Texas

Profile Details

NPI number 1700943073
LBN Legal business name Matoke Incorporated Southside Pharmacy
DBA Doing business as Northwest Pharmacy
Authorized official Matoke, Eric RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 12th, 2013 - about 13 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 1700943073 NPPES
Texas MEDICAID 145756
Texas Other 4543648

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