# LUMMUS PHARM INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN ST. PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346386968
- **Authorized official:** SARA LUMMUS PHD (CORP OFFICER)
- **Authorized official phone:** (325) 658-7555

## Contact information

- **Practice address:** 902 N MAIN ST, SAN ANGELO, TX 76903-4077
- **Practice address phone:** (325) 658-7555
- **Practice address fax:** (325) 653-3224
- **Mailing address:** 902 N MAIN ST, SAN ANGELO, TX 76903-4077
- **Mailing address phone:** (325) 658-7555
- **Mailing address fax:** (325) 653-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 27017 | TX | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 01/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2106058 | PK | — |
| 05 | — | 350086 | — | TX |