Organization
HANEY & HANEY LLC
Active
Other names
Vidor Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TREY HANEY (MANAGER)
(409) 769-2406
Entity
Organization
Contact information
Practice address
1130 N MAIN ST, VIDOR, TX 77662
(409) 769-2406
(409) 769-8250
Mailing address
1130 N MAIN ST, VIDOR, TX 77662-3739
(409) 769-2406
(409) 769-8250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25444
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149213
—
TX
01
—
2096358
PK
—
Enumeration date
02/27/2007
Last updated
02/16/2023
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