Organization
MEDICINE CHEST INSTITUTIONAL PHARMACY LLC
Active
Other names
M Chest Pharmacy-Sulphur Springs
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MICHEL (CEO)
(903) 630-6000
Entity
Organization
Contact information
Practice address
411 MAIN ST STE 2, SULPHUR SPRINGS, TX 75482-2762
(877) 438-0770
(877) 438-0827
Mailing address
3160 PARK CENTER DR, TYLER, TX 75701-8482
(903) 630-6000
(903) 594-4065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
22484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098340
PK
—
05
—
321067
—
TX
Enumeration date
10/18/2005
Last updated
09/22/2025
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