Organization
LOVE OAK LLC
Active
Organization
LOVE OAK LLC
Active
Other names
Love Oak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MCNABB PHARMD (PRESIDENT)
(254) 631-9662
Entity
Organization
Contact information
Practice address
805 W MAIN ST, EASTLAND, TX 76448-2536
(254) 629-1791
(254) 629-3177
Mailing address
805 W MAIN ST, EASTLAND, TX 76448-2536
(254) 629-1791
(254) 629-3177
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30152
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148432
—
TX
01
—
2153774
PK
—
Enumeration date
08/26/2015
Last updated
08/10/2022
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