Organization
KING LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS OBEN MBA (OWNER)
(409) 832-6100
Entity
Organization
Contact information
Practice address
755 S 11TH STREET, SUITE 101, BEAUMONT, TX 77701
(409) 832-6100
(409) 832-0159
Mailing address
755 S 11TH STREET, SUITE 101, BEAUMONT, TX 77701
(409) 832-6100
(409) 832-0159
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
27291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27291T
PHARMACY LICENSE
TX
Enumeration date
01/03/2011
Last updated
10/23/2023
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