Organization
LUMMUS PHARM INC
Active
Other names
MAIN ST. PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LUMMUS PHD (CORP OFFICER)
(325) 658-7555
Entity
Organization
Contact information
Practice address
902 N MAIN ST, SAN ANGELO, TX 76903-4077
(325) 658-7555
(325) 653-3224
Mailing address
902 N MAIN ST, SAN ANGELO, TX 76903-4077
(325) 658-7555
(325) 653-3224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
27017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106058
PK
—
05
—
350086
—
TX
Enumeration date
01/30/2007
Last updated
01/18/2017
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