Organization
CENTRAL PHARMACY, INC.
Active
Other names
Wintergarden Area Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L DOBLE (PRESIDENT)
(830) 876-2516
Entity
Organization
Contact information
Practice address
314 N 5TH ST, CARRIZO SPRINGS, TX 78834-3106
(830) 876-2516
(830) 876-5450
Mailing address
314 N 5TH ST, CARRIZO SPRINGS, TX 78834-3106
(830) 876-2516
(830) 876-5450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
11072
TX
332BC3200X
Customized Equipment (DME)
11072
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
11072
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
11072
TX
333600000X
Pharmacy
11072
TX
3336C0003X
Community/Retail Pharmacy
11072
TX
3336H0001X
Home Infusion Therapy Pharmacy
11072
TX
3336L0003X
Long Term Care Pharmacy
11072
TX
3336M0002X
Mail Order Pharmacy
11072
TX
3336S0011X
Specialty Pharmacy
Primary
11072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519955
BCBS-DME
TX
01
—
750662
BCBS-HIT
TX
Enumeration date
07/10/2006
Last updated
09/11/2025
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