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GATESVILLE DRUG COMPANY LTD NPI 1205948114


NPI Information

NPI: 1205948114
Provider Name: GATESVILLE DRUG COMPANY, LTD

Doing Business As: GATESVILLE DRUG CO LTD

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2513 S. STATE HIGHWAY 36
GATESVILLE, TX
ZIP 76528
Phone: (254) 865-2417
Get Directions

GATESVILLE DRUG COMPANY, LTD is a pharmacy in Gatesville, 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. GATESVILLE DRUG COMPANY, LTD NPI is 1205948114. The provider is registered as an organization entity type.
The provider Is Doing Business As Gatesville Drug Co Ltd.

The provider's business location address is:

2513 S. STATE HIGHWAY 36
GATESVILLE, TX
ZIP 76528-519
Phone: (254) 865-2417
Fax: (254) 865-4024

The provider's authorized official is Kevin Wayne George .
The authorized official title is Owner/pharmacist In Charge and has the following contact phone number (254) 865-2417.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/26/2021.


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 Pharmacy20099TEXASNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyYes

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
1149115MEDICAIDTEXAS
2144947MEDICAIDTEXAS
34503389OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.