Organization
SHACKELFORD COUNTY HOSPITAL DISTRICT
Active
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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