Center Street Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Bonham, TX
NPI 1043345341 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1043345341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 25288 (TX)
- Legal business name
- CENTER STREET PHARMACY INC.
- Practice address
- 2108 N Center St
Bonham, TX 75418-2628 - Phone
- (903) 583-8017
- Fax
- (903) 583-4232
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Maureen Reeder, RPH
- Title
- Owner
- Phone
- (903) 583-8017
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25288 | TX | Yes |
Addresses
Primary practice location
2108 N Center St
Bonham, TX 75418-2628
Mailing address
2108 N Center St
Bonham, TX 75418-2628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141837 | Medicaid | TX | |
| 4553827 | Other | OTHER ID NUMBER |
Other names
- FANNIN PHARMACY
Other providers in Bonham, TX
- Latasha Pearl Burkard
- Clyde William Butler Jr.
- Brian James Caldwell
- John Alfred Carter Jr.
- Catalyst Chiropractic PLLC
- City of Bonham
- Amy Beth Clark
- Lisa M Clark
- Peter A Clark
- Pamela Lynn Collins Aurand
All providers in Bonham, 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 Sep 13, 2007. 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.