Gary D. Dugger
Individual provider Active NPI Pharmacist · Seminole, TX
NPI 1366686131 · NPPES record last updated Apr 8, 2010
Key facts
- NPI
- 1366686131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21327 (TX)
- Practice address
- 701 Hobbs Hwy
Seminole, TX 79360-3401 - Phone
- (432) 758-3656
- Fax
- (432) 758-3117
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21327 | TX | Yes |
Addresses
Primary practice location
701 Hobbs Hwy
Seminole, TX 79360-3401
Mailing address
701 Hobbs Hwy
Seminole, TX 79360-3401
Phone (432) 758-3656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011193202 | Medicaid | TX |
Other providers in Seminole, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 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.