National Provider Identifier Database

DECATUR HOSPITAL AUTHORITY
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

DECATUR HOSPITAL AUTHORITY
609 MEDICAL CENTER DRIVE, SUITE 1100
DECATUR, TX76234
Phone: 940-626-2555
Fax: 940-263-3150
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for DECATUR HOSPITAL AUTHORITY

NPI Number 1912573346
Legal business name
LBN
DECATUR HOSPITAL AUTHORITY
Authorized official JASON WREN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/27/2021
Last updated 09/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: PENDING

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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