Organization
HASKELL DRUG STORE INC
Active
Other names
THE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE MEREDITH (OWNER)
(940) 864-2673
Entity
Organization
Contact information
Practice address
100 S AVENUE E, HASKELL, TX 79521-5711
(940) 864-2673
(940) 864-3731
Mailing address
100 S AVENUE E, HASKELL, TX 79521-5711
(940) 864-2673
(940) 864-3731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142354
—
TX
01
—
2097610
PK
—
Enumeration date
09/06/2006
Last updated
06/08/2016
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