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Contact Information

KELLY G PRATT
1400 MAIN ST
AMHERST, TX79312
 Phone: 806-246-3683
 Fax:
 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 KELLY G PRATT

NPI Number 1871504365
LBN Legal business name KELLY G PRATT
Authorized official KELLY PRATT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 02/14/2008 - About 18 years ago
Identifiers
TX License # 25112
TX Medicaid 145681
Other 4594809 OTHER ID NUMBER-COMMERCIAL 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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