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Contact Information

STANTON DRUG LLC
201 N ST PETER ST
2530148
STANTON, TX79782
 Phone: 432-756-3731
 Fax: 432-756-2008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STANTON DRUG LLC

NPI # 1942296801
LBN Legal business name STANTON DRUG LLC
Authorized official COLTON KIDD - (OWNER,PIC,AO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2005
Last updated 02/28/2017 - About 9 years ago
Identifiers
TX License # 29926
TX Medicaid 148800
Other 2152539 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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