Boyles Bandera Pharmacy
Organization Active NPI Community/Retail Pharmacy · Bandera, TX
NPI 1013010156 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1013010156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 12543 (TX)
- Legal business name
- BOYLES BANDERA PHARMACY
- Practice address
- 1200 Sycamore St
Bandera, TX 78003-2020 - Phone
- (830) 796-8191
- Fax
- (830) 796-8204
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Mullins, RPH
- Title
- Pic President
- Phone
- (830) 796-8181
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 12543 | TX | Yes |
Addresses
Primary practice location
1200 Sycamore St
Bandera, TX 78003-2020
Mailing address
PO Box 2020
Bandera, TX 78003-2020
Phone (830) 796-8191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143183 | Medicaid | TX | |
| 4569868 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- BOYLES BANDERA
Other providers in Bandera, TX
- Belinda Bego
- Cynthia Ann Bennett
- Dawn Zoe Blythe
- Mary Carla Bolan
- Jesse Allan Boutwell
- Andy Breitbarth
- Jamye Sue Buckley
- Priya Butcher
- Joyce Lynn Canion
- Cedar Creek Nursing and Rehabilitation Center, Inc
All providers in Bandera, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.