# LONGHORN DRUG COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073648028
- **Authorized official:** PATTY LONG (VP)
- **Authorized official phone:** (386) 698-3737

## Contact information

- **Practice address:** 1711 S HENDERSON BLVD, \#100, KILGORE, TX 75662-3563
- **Practice address phone:** (903) 983-5313
- **Practice address fax:** (903) 984-0923
- **Mailing address:** 1711 S HENDERSON BLVD, \#100, KILGORE, TX 75662-3563
- **Mailing address phone:** (903) 983-5313
- **Mailing address fax:** (903) 984-0923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | D3473 | TX | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 02/05/2008