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Contact Information

KIOWA PHARMACY, INC.
1201 OLIVE ST
SUITE 104
GAINESVILLE, TX76240
 Phone: 940-668-7384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KIOWA PHARMACY, INC.

NPI Number 1265418792
LBN Legal business name KIOWA PHARMACY, INC.
Authorized official RHONDA HINDSLEY - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2005
Last updated 07/13/2010 - About 16 years ago
Identifiers
TX License # 13583
TX Medicaid 0677445-03
TX Medicaid 143598
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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