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Contact Information

EASTTEXRX LLC
402B W UPSHUR
GLADEWATER, TX75647
 Phone: 903-845-2573
 Fax: 903-845-2266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EASTTEXRX LLC

NPI Number 1578866182
LBN Legal business name EASTTEXRX LLC
Authorized official EDDIE GOODE - (V.P. EASTTEXRX, LLC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2010
Last updated 12/21/2010 - About 15 years ago
Identifiers
TX License # 27066
Other 5902095 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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