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DICK STORSETH INC NPI 1457352627


NPI Information

NPI: 1457352627
Provider Name: DICK STORSETH INC

Doing Business As: VILLAGE PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
2600 WOLFLIN VLG
AMARILLO, TX
ZIP 79109
Phone: (806) 352-5624
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DICK STORSETH INC is a compounding pharmacy pharmacy in Amarillo, TX. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. DICK STORSETH INC NPI is 1457352627. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Pharmacy.

The provider's business location address is:

2600 WOLFLIN VLG
AMARILLO, TX
ZIP 79109-838
Phone: (806) 352-5624
Fax: (806) 353-9270

The provider's authorized official is Dick Storseth .
The authorized official title is Pres And Pic and has the following contact phone number (806) 352-5624.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/31/2007.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding Pharmacy04953TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14546175OTHEROTHER ID NUMBER
24546175OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3141828MEDICAIDTEXAS
40874780001MEDICARE NSC

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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