National Provider Identifier Database

ARCHIE PHARMACY LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

ARCHIE PHARMACY LLC
305 S ARCHIE ST
VIDOR, TX77662-4840
Phone: 409-242-3124
Fax: 888-870-3156
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for ARCHIE PHARMACY LLC

NPI Number 1275912453
Legal business name
LBN
ARCHIE PHARMACY LLC
Authorized official TREY HANEY - (OPERATIONS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/21/2015
Last updated 09/09/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 29936
  • Other: 2152055 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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