Organization
BEAUMONT PHARMACY LLC
Active
Other names
Malley's Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TREY HANEY (MANAGER)
(409) 769-2406
Entity
Organization
Contact information
Practice address
3110 CALDER AVE., BEAUMONT, TX 77702-1411
(409) 866-1429
(409) 866-3735
Mailing address
3110 CALDER ST, BEAUMONT, TX 77702-1411
(409) 866-1429
(409) 866-3735
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149068
—
TX
01
—
25742
STATE BOARD OF PHARMACY
TX
Enumeration date
08/23/2006
Last updated
03/07/2023
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