<Unavail>

LBN: Medicine Chest 114 Llc
<Unavail> is an health care organization with primary practice located at 807 S Beckham Ave Suite 100, Tyler TX 75701-1905. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medicine Chest 114 Llc can be contacted via phone (903) 592-8283, or through Michel, Chad via phone (903) 885-0821.

Contact Information

Primary practice address
807 S Beckham Ave Suite 100 Tyler TX 75701-1905
Phone: (903) 592-8283
Fax: (903) 885-1024
Website:
Map and Directions
Authorized official contact:
Name: Michel, Chad
Phone: (903) 885-0821

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26182 Texas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1497749915
LBN Legal business name Medicine Chest 114 Llc
DBA Doing business as <Unavail>
Authorized official Michel, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 2nd, 2015 - about 11 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 1497749915 NPPES
Texas MEDICAID 466551
Texas Other 2102545

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