# HEALTH AND HUMAN SERVICES COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TERRELL STATE HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740299775
- **Authorized official:** LINDA GARNETT (PROGRAM SUPERVISOR)
- **Authorized official phone:** (512) 913-1580

## Contact information

- **Practice address:** 1200 E BRIN ST, TERRELL, TX 75160-2938
- **Practice address phone:** (972) 551-8238
- **Practice address fax:** (972) 551-8805
- **Mailing address:** PO BOX 70, TERRELL, TX 75160-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 6034 | TX | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 11/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137919003 | — | TX |
| 01 | — | 2097616 | PK | — |