Organization
BALLINGER MEMORIAL HOSPITAL DISTRICT
Active
Other names
Keel Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
RHETT FRICKE (CEO/ADMINISTRATOR)
(325) 365-2531
Entity
Organization
Contact information
Practice address
2001 HUTCHINS AVE, SUITE A, BALLINGER, TX 76821-4452
(325) 365-3505
(325) 365-5376
Mailing address
PO BOX 617, BALLINGER, TX 76821-0617
(325) 365-3505
(325) 365-5376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130089914
—
TX
05
—
148396
—
TX
01
—
2136290
PK
—
Enumeration date
04/02/2012
Last updated
10/26/2020
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