Haskell Drug Store Inc
Organization Active NPI Long Term Care Pharmacy · Haskell, TX
NPI 1306914809 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1306914809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 25305 (TX)
- Legal business name
- HASKELL DRUG STORE INC
- Practice address
- 100 S Avenue E
Ste B
Haskell, TX 79521-5711 - Phone
- (940) 864-2674
- Fax
- (940) 864-3731
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Lonnie Meredith
- Title
- Owner Pic
- Phone
- (940) 864-2674
Practitioners 2
-
Nathan Buerkle, PHARMD
National Provider Directory
Locations
100 S Avenue E
#B
Haskell, TX 79521
Phone (940) 864-2674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 25305 | TX | Yes |
Addresses
Primary practice location
100 S Avenue E
Ste B
Haskell, TX 79521-5711
Mailing address
100 S Avenue E
Ste B
Haskell, TX 79521-5711
Phone (940) 864-2674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350202 | Medicaid | TX | |
| 2099689 | Other | PK |
Other names
- HASKELL CLINICAL SERVICES
Other providers in Haskell, TX
- Haskell County Hospital
- Haskell County Hospital
- Haskell County Hospital
- Haskell Dental Partnership, PLLC
- Haskell Drug Store Inc
- Healing Play Counseling, PLLC
- Holiday Lodge Healthcare Center
- Hope in Healing Counseling, PLLC
- Jason M. Mahoney DMD, PLLC
- Kelby Johnson
All providers in Haskell, TX · Long Term Care 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 Jun 8, 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.