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BASTROP MEDICINE SHOP LLC NPI 1043953029


NPI Information

NPI: 1043953029
Provider Name: BASTROP MEDICINE SHOP LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1110 MAIN ST STE A
BASTROP, TX
ZIP 78602
Phone: (512) 549-3222
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BASTROP MEDICINE SHOP LLC is a long term care pharmacy pharmacy in Bastrop, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BASTROP MEDICINE SHOP LLC NPI is 1043953029. The provider is registered as an organization entity type.

The provider's business location address is:

1110 MAIN ST STE A
BASTROP, TX
ZIP 78602-219
Phone: (512) 549-3222
Fax: (512) 549-3777

The provider's authorized official is Omar Alejandro Fuentes Curiel .
The authorized official title is Pharmacist and has the following contact phone number (512) 549-3222.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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