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Contact Information

BRACKETTVILLE PHARMACY, LLC
201 JAMES ST.
BRACKETTVILLE, TX78832
 Phone: 830-563-9334
 Fax: 830-563-9065
 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 BRACKETTVILLE PHARMACY, LLC

NPI Number 1912984626
LBN Legal business name BRACKETTVILLE PHARMACY, LLC
Authorized official YANKTON WYATT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2005
Last updated 07/11/2023 - About 3 years ago
Identifiers
TX Medicaid 150055
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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