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Contact Information

CRAWFORD PHARMACY OF BANDERA LLC
907 N MAIN
BANDERA, TX78003
 Phone: 830-460-4205
 Fax: 830-796-4537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CRAWFORD PHARMACY OF BANDERA LLC

NPI # 1023177938
LBN Legal business name CRAWFORD PHARMACY OF BANDERA LLC
Authorized official PREM KALIDINDI - (MEMBER/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 01/20/2012 - About 14 years ago
Identifiers
TX License # 27778
TX Medicaid 146494
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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