Organization
FIRST LONE STAR PHARMACY GROUP IV LLC
Active
Other names
AXTELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLIOTT (OPERATIONS MANAGER)
(214) 521-9991
Entity
Organization
Contact information
Practice address
1246 S HIGHWAY 377, STE 100, PILOT POINT, TX 76258-4353
(940) 686-2218
(940) 686-9286
Mailing address
1246 S HIGHWAY 377, STE 100, PILOT POINT, TX 76258-4353
(940) 686-2218
(940) 686-9286
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
29669
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141751
—
TX
01
—
2146341
PK
—
Enumeration date
01/27/2006
Last updated
06/12/2024
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