Three Rivers Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Three Rivers, TX
NPI 1821170002 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1821170002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- THREE RIVERS PHARMACY, LLC
- Practice address
- 101 W. Thornton
Three Rivers, TX 78071 - Phone
- (361) 786-3757
- Fax
- (361) 786-3279
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Yankton Wyatt, PHARMD
- Title
- Vice President
- Phone
- (432) 523-4861
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Campbell Drug Store
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
101 W. Thornton
Three Rivers, TX 78071
Mailing address
813 Hospital Dr.
Andrews, TX 79714
Phone (432) 523-4861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149919 | Medicaid | TX |
Other names
- Campbell Drug Store
Other providers in Three Rivers, TX
- Soliz Physical Therapy PLLC
- Dusty D Soliz
- Three Rivers Isd
- Three Rivers Nursing Home, LLC
- Three Rivers Pharmacy, LLC
- Jordan Alyse Zabransky
- Roselia Zamora-Pollard
All providers in Three Rivers, 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 Mar 8, 2024. 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.