National Provider Identifier Database

CRAWFORD PHARMACY OF BANDERA LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CRAWFORD PHARMACY OF BANDERA LLC
907 N MAIN
BANDERA, TX78003
Phone: 830-460-4205
Fax: 830-796-4537
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CRAWFORD PHARMACY OF BANDERA LLC

NPI Number 1023177938
Legal business name
LBN
CRAWFORD PHARMACY OF BANDERA LLC
Authorized official PREM KALIDINDI - (MEMBER/CFO)
Entity Organization
Organization subpart No
Enumeration date 12/06/2006
Last updated 01/20/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 27778
  • TX Medicaid: 146494

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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