Stephenson Pharmacy, Llc

LBN: Stephenson Pharmacy, Llc
Stephenson Pharmacy, Llc is an health care organization with primary practice located at 1000 S Fleishel Ave , Tyler TX 75701-2037. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Stephenson Pharmacy, Llc can be contacted via phone (903) 593-0236, or through Healy, Patrick James via phone (903) 593-0236.

Contact Information

Primary practice address
1000 S Fleishel Ave Tyler TX 75701-2037
Fax: (903) 593-9375
Website:
Authorized official contact:
Name: Healy, Patrick James R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336751270
LBN Legal business name Stephenson Pharmacy, Llc
DBA Doing business as
Authorized official Healy, Patrick James R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2020
Last updated Aug 21st, 2020 - about 6 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 1336751270 NPPES
Texas MEDICAID 14598701

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