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Contact Information

KOUNTZE PHARMACY LLC
800 S PINE STREET
KOUNTZE, TX77625
 Phone: 409-246-3492
 Fax: 409-246-8192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 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
Indicates primary specialty

NPI Profile & details for KOUNTZE PHARMACY LLC

NPI # 1609981802
LBN Legal business name KOUNTZE PHARMACY LLC
Authorized official COLIN GINGRICH - (COMPLIANCE COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/20/2006
Last updated 04/10/2017 - About 9 years ago
Identifiers
TX License # 18813
TX Medicaid 470997
Other 2091871 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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