# PHARM NACOGDOCHES ACQUISITION LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHARM NACOGDOCHES ACQUISITION LLC
- **Other names:** Medicine Shoppe LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013694264
- **Legal business name:** PHARM NACOGDOCHES ACQUISITION LLC
- **Authorized official:** MATTHEW FINN (OFFICER)
- **Authorized official phone:** (469) 261-3048

## Contact information

- **Practice address:** 212 NORTH ST, NACOGDOCHES, TX 75961-5260
- **Practice address phone:** (936) 569-6430
- **Mailing address:** 212 NORTH ST, NACOGDOCHES, TX 75961-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 06/29/2023