Organization
ABELDT GP, LLC
Active
Other names
Abeldt's Gaslight Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY V ABELDT (PRESIDENT)
(936) 639-2346
Entity
Organization
Contact information
Practice address
200 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 639-2346
(936) 639-0886
Mailing address
200 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 639-2346
(936) 639-0886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04196
TX
3336C0004X
Compounding Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015612701
—
TX
05
—
126841901
—
TX
01
—
506658
BLUE CROSS & BLUE SHIELD
TX
01
—
750675
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
05/27/2006
Last updated
04/10/2025
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