City Drug of Alpine Inc
Organization Active NPI Pharmacist · Alpine, TX
NPI 1740320043 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740320043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 13739 (TX)
- Legal business name
- CITY DRUG OF ALPINE INC
- Practice address
- 202 E Avenue E
Alpine, TX 79830-4728 - Phone
- (432) 837-2252
- Fax
- (432) 837-3152
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jack T Bow, RPH
- Title
- Owner Pharmacist
- Phone
- (432) 837-2252
Practitioners 1
-
Ronald Dale Dyda, R.PH.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 13739 | TX | Yes |
Addresses
Primary practice location
202 E Avenue E
Alpine, TX 79830-4728
Mailing address
202 E Avenue E
Alpine, TX 79830-4728
Phone (432) 837-2252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140213 | Medicaid | TX | |
| 4512198 | Other | TX | NABP |
Other names
- city drug
Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.