NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

ARCHIE PHARMACY LLC
305 S ARCHIE ST
VIDOR, TX77662-4840
 Phone: 409-242-3124
 Fax: 888-870-3156
 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
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ARCHIE PHARMACY LLC

NPI # 1275912453
LBN Legal business name ARCHIE PHARMACY LLC
Authorized official TREY HANEY - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2015
Last updated 09/09/2021 - About 5 years ago
Identifiers
TX License # 29936
Other 2152055 PK
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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