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Contact Information

KING LTC LLC
755 S 11TH STREET, SUITE 101
BEAUMONT, TX77701
 Phone: 409-832-6100
 Fax: 409-832-0159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KING LTC LLC

NPI Number 1093019259
LBN Legal business name KING LTC LLC
Authorized official JULIUS OBEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2011
Last updated 10/23/2023 - About 3 years ago
Identifiers
TX License # 27291
TX Other 27291T PHARMACY LICENSE
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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