Organization
GEE SHIPMAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN RALPH SHIPMAN RPH (PHARMACIST OWNER)
(409) 384-4646
Entity
Organization
Contact information
Practice address
140 WEST LAMAR, JASPER, TX 75951
(409) 384-4646
(409) 384-4648
Mailing address
140 WEST LAMAR, JASPER, TX 75951
(409) 384-4646
(409) 384-4648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0659280001
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015577201
—
TX
01
—
107738001
CCP NHIC
TX
01
—
502777
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/04/2006
Last updated
11/08/2023
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