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MANAGED CARE PHARMACY NPI 1568597177


NPI Information

NPI: 1568597177
Provider Name: MANAGED CARE PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
721 S. PALM
PECOS, TX
ZIP 79772
Phone: (432) 445-4916
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MANAGED CARE PHARMACY is a pharmacy in Pecos, TX. The provider is 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. MANAGED CARE PHARMACY NPI is 1568597177. The provider is registered as an organization entity type.

The provider's business location address is:

721 S. PALM
PECOS, TX
ZIP 79772
Phone: (432) 445-4916
Fax: (432) 445-6085

The provider's authorized official is John T Rediger .
The authorized official title is Rph and has the following contact phone number (432) 445-4916.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 3/10/2008.


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
1333600000XPharmacy15928TEXASYes

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
1350046MEDICAIDTEXAS
2PH0333MEDICARE PINTEXAS

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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