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Organization
BRICKSTREET LONG TERM CARE, LLC
Active
Organization
BRICKSTREET LONG TERM CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY V ABELDT RPH (PIC/OWNER)
(903) 533-8157
Entity
Organization
Contact information
Practice address
312 W RUSK ST, SUITE B, TYLER, TX 75701-1513
(903) 533-8157
Mailing address
312 W RUSK ST, SUITE B, TYLER, TX 75701-1513
(903) 533-8157
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
29024
TX
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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