Organization
PHARMBLUE TEXAS LLC
Active
Other names
PharmBlue Texas LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NELSON (OWNER,CEO, AO)
(724) 779-4720
Entity
Organization
Contact information
Practice address
1495 N 7TH ST, BEAUMONT, TX 77702-1345
(800) 967-5020
(844) 873-8760
Mailing address
P. O. BOX677949, DALLAS, TX 75267-7949
(724) 779-4720
(724) 779-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31190
TX
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154799336
—
TX
01
—
2160901
PK
—
Enumeration date
09/04/2015
Last updated
03/23/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us