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Organization
PORT ARANSAS PHARMACY, L.C.
Active
Organization
PORT ARANSAS PHARMACY, L.C.
Active
Other names
Port Aransas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STOGNER (CFO)
(903) 893-0677
Entity
Organization
Contact information
Practice address
2131 STATE HIGHWAY 361, PORT ARANSAS, TX 78373-4801
(361) 749-1725
Mailing address
PO BOX 2407, SHERMAN, TX 75091-2407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23841
TX
333600000X
Pharmacy
23841
TX
3336C0003X
Community/Retail Pharmacy
23841
TX
3336C0004X
Compounding Pharmacy
Primary
23841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145480
—
TX
05
—
1736738
—
TX
Enumeration date
12/16/2005
Last updated
09/11/2025
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