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MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX NPI 1265424832


NPI Information

NPI: 1265424832
Provider Name: MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX

Other Name: THE MEDICINE PLACE PHARMACY #2

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2250 CHESTNUT ST.
COLORADO CITY, TX
ZIP 79512
Phone: (325) 728-3489
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MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX is a pharmacy in Colorado City, 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. MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX NPI is 1265424832. The provider is registered as an organization entity type.
The provider Other Name Is The Medicine Place Pharmacy #2.

The provider's business location address is:

2250 CHESTNUT ST.
COLORADO CITY, TX
ZIP 79512-485
Phone: (325) 728-3489
Fax: (325) 728-8683

The provider's authorized official is Paul Gilbert Johnson .
The authorized official title is Pharmacist In Charge/v.p./owner and has the following contact phone number (325) 728-3489.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 3/7/2023.


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
1332B00000XDurable Medical Equipment & Medical Supplies10882TEXASNo
2333600000XPharmacy10882TEXASYes

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
1142688MEDICAIDTEXAS
24567814OTHERTEXASNCPDP# (FORMERLY NABP#)
310882OTHERTEXASTX STATE BOARD LIC #

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.