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Q3BL PHARMACY LLC NPI 1467566455


NPI Information

NPI: 1467566455
Provider Name: Q3BL PHARMACY LLC

Doing Business As: PAT WOOD DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3648 GULFWAY DR
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 985-8874
Get Directions

Q3BL PHARMACY LLC is a community/retail pharmacy pharmacy in Port Arthur, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. Q3BL PHARMACY LLC NPI is 1467566455. The provider is registered as an organization entity type.
The provider Is Doing Business As Pat Wood Drug Store.

The provider's business location address is:

3648 GULFWAY DR
PORT ARTHUR, TX
ZIP 77642-674
Phone: (409) 985-8874
Fax: (409) 985-6568

The provider's authorized official is Quynh Pham .
The authorized official title is Owner And Manager and has the following contact phone number (409) 985-8874.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 6/23/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy23989TEXASYes

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
12090996OTHERPK
2066691903MEDICAIDTEXAS
3066691902MEDICAIDTEXAS
45420830001MEDICARE NSC
5145523MEDICAIDTEXAS

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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