Organization
LIFECHEK 336 PHARMACY LLC
Active
Other names
Lifechek Drug
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GINGRICH (MANAGING OFFICER)
(281) 232-3940
Entity
Organization
Contact information
Practice address
690 S LOOP 336 W STE 100, CONROE, TX 77304-3320
(936) 539-4900
(936) 539-4920
Mailing address
PO BOX 1047, RICHMOND, TX 77406-0027
(281) 232-3940
(832) 595-1203
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28117
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136545
PK
—
05
—
28117
—
TX
Enumeration date
01/09/2013
Last updated
03/09/2016
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