Organization
LIFECHEK 336 PHARMACY LLC
Active
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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