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Contact Information

THREE RIVERS PHARMACY, LLC
101 W. THORNTON
THREE RIVERS, TX78071
 Phone: 361-786-3757
 Fax: 361-786-3279
 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 THREE RIVERS PHARMACY, LLC

NPI # 1821170002
LBN Legal business name THREE RIVERS PHARMACY, LLC
Authorized official YANKTON WYATT - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 03/08/2024 - About 2 years ago
Identifiers
TX Medicaid 149919
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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