Organization
SUMARK LLC
Active
Other names
YOAKUM DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SCHLEY (PHCY/MNGR)
(361) 741-7455
Entity
Organization
Contact information
Practice address
210 NELSON ST, STE E, YOAKUM, TX 77995-2750
(361) 741-7455
(361) 741-7457
Mailing address
210 NELSON ST, STE E, YOAKUM, TX 77995-2750
(361) 741-7455
(361) 741-7457
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145528
—
TX
01
—
4525195
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
08/07/2009
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