# LOVE OAK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Love Oak Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376033274
- **Authorized official:** DR. BENJAMIN CARSON MCNABB PHARMD (MANAGING MEMBER)
- **Authorized official phone:** (254) 629-1791

## Contact information

- **Practice address:** 805 W MAIN ST, EASTLAND, TX 76448-2536
- **Practice address phone:** (254) 629-1791
- **Practice address fax:** (254) 629-3177
- **Mailing address:** 805 W MAIN ST, EASTLAND, TX 76448-2536
- **Mailing address phone:** (254) 629-1791
- **Mailing address fax:** (254) 629-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 30152 | TX | Yes |

## Other

- **Enumeration date:** 05/16/2018
- **Last updated:** 10/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2177682 | PK | — |