# BRICKSTREET LONG TERM CARE, LLC

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

## Provider details

- **NPI number:** 1104240068
- **Authorized official:** JEFFREY V ABELDT RPH (PIC/OWNER)
- **Authorized official phone:** (903) 533-8157

## Contact information

- **Practice address:** 312 W RUSK ST, SUITE B, TYLER, TX 75701-1513
- **Practice address phone:** (903) 533-8157
- **Mailing address:** 312 W RUSK ST, SUITE B, TYLER, TX 75701-1513
- **Mailing address phone:** (903) 533-8157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 29024 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014