# EAGLE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE PHARMACY INC
- **Other names:** Eagle Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891326393
- **Legal business name:** EAGLE PHARMACY INC
- **Authorized official:** DR. JOHNATHON ANDREW DROBLYN PHARMD. (CEO)
- **Authorized official phone:** (903) 881-5752

## Contact information

- **Practice address:** 1404 S MAIN ST, LINDALE, TX 75771-6267
- **Practice address phone:** (903) 881-5752
- **Practice address fax:** (888) 374-1180
- **Mailing address:** 1404 S MAIN ST, LINDALE, TX 75771-6267
- **Mailing address phone:** (903) 881-5752
- **Mailing address fax:** (888) 374-1180

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148371 | — | TX |
| 01 | — | 28649 | STATE BOARD OF PHARMACY | TX |