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Contact Information

EL CAMPO PROFESSIONAL PHARMACY
1264 N. MECHANIC ST.
EL CAMPO, TX77437
 Phone: 979-543-2761
 Fax: 979-543-2840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EL CAMPO PROFESSIONAL PHARMACY

NPI # 1376565200
LBN Legal business name EL CAMPO PROFESSIONAL PHARMACY
Authorized official MICHAEL MUECKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 09/13/2012 - About 14 years ago
Identifiers
License # 28096
TX License # 28096
TX Medicaid 110741
Other 4519053 NCPDP PROVIDER IDENTIFICATION NUMBER
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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