Epoch Pharmacy Solutions II LLC
Organization Active NPI Community/Retail Pharmacy · Port Lavaca, TX
NPI 1154607331 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1154607331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 27709 (TX)
- Legal business name
- EPOCH PHARMACY SOLUTIONS II LLC
- Practice address
- 1202 N Virginia St
Port Lavaca, TX 77979-2507 - Phone
- (361) 482-0345
- Fax
- (361) 482-0348
- NPI assigned
- Nov 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Bruce Rogers
- Title
- Owner
- Phone
- (361) 894-6430
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27709 | TX | Yes |
Addresses
Primary practice location
1202 N Virginia St
Port Lavaca, TX 77979-2507
Mailing address
PO Box 3670
Victoria, TX 77903-3670
Phone (361) 894-6430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146465 | Medicaid | TX | |
| 2132537 | Other | PK |
Other names
- MEDICINE MAN PHARMACY-PORT LAVACA
Other providers in Port Lavaca, TX
- Raymond P Dickey
- Connor Dieringer
- Discovery Medical Network Port Lavaca LLC
- Angela Marie-Garcia Dobbins
- Kirsten Michelle Edwards
- Ess of Port Lavaca LLC
- Leigh Ann Falcon
- Gregorio Jose Robles Fernandez
- Finer Path Counseling
- Jerry Lee Followwill
All providers in Port Lavaca, 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 16, 2016. 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.