# MEDICINE CHEST INSTITUTIONAL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M Chest Pharmacy-Sulphur Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194714584
- **Authorized official:** CHAD MICHEL (CEO)
- **Authorized official phone:** (903) 630-6000

## Contact information

- **Practice address:** 411 MAIN ST STE 2, SULPHUR SPRINGS, TX 75482-2762
- **Practice address phone:** (877) 438-0770
- **Practice address fax:** (877) 438-0827
- **Mailing address:** 3160 PARK CENTER DR, TYLER, TX 75701-8482
- **Mailing address phone:** (903) 630-6000
- **Mailing address fax:** (903) 594-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 22484 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 09/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2098340 | PK | — |
| 05 | — | 321067 | — | TX |