Organization
SHACKELFORD COUNTY HOSPITAL DISTRICT
Active
Other names
Shackelford County EMS, Sanders Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI GREEN (DISTRICT ADMINISTRATOR)
(325) 762-3661
Entity
Organization
Contact information
Practice address
104 S. MAIN ST, ALBANY, TX 76430
(325) 762-3979
(325) 762-3982
Mailing address
PO BOX 3116, ALBANY, TX 76430
(325) 762-3979
(325) 762-3982
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148191
—
TX
01
—
2153911
PK
—
Enumeration date
08/18/2015
Last updated
11/09/2022
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