Organization
HERVEY & BETHARD INC.
Active
Organization
HERVEY & BETHARD INC.
Active
Other names
dba Louis Morgan Drug #1
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DIANE GILLIAM RPH (PHARMACIST/OWNER)
(903) 758-8286
Entity
Organization
Contact information
Practice address
1900 S. HIGH ST., LONGVIEW, TX 75602
(903) 758-8286
(903) 758-2728
Mailing address
1900 S. HIGH ST., LONGVIEW, TX 75602
(903) 758-8286
(903) 758-2728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01373
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1373
TX
3336C0003X
Community/Retail Pharmacy
01373
TX
3336C0003X
Community/Retail Pharmacy
Primary
1373
TX
3336L0003X
Long Term Care Pharmacy
01373
TX
3336L0003X
Long Term Care Pharmacy
1373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120579
—
TX
05
—
148388
—
TX
01
—
4525753
NCPDP PROVIDER ID
TX
Enumeration date
10/02/2006
Last updated
02/15/2017
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