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Contact Information

SAUCEDO PHARMACY INC
1021 E 1ST ST
DUMAS, TX79029
 Phone: 806-935-7494
 Fax: 806-935-5805
 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 SAUCEDO PHARMACY INC

NPI # 1821101932
LBN Legal business name SAUCEDO PHARMACY INC
Authorized official JASON SAUCEDO - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 10/14/2022 - About 4 years ago
Identifiers
TX License # 31887
TX Medicaid 149822
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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