Organization
LULING DISCOUNT PHARMACY INC
Active
Other names
LULING DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DELANE BASSETT PHARMACIST (PRESIDENT)
(830) 875-2311
Entity
Organization
Contact information
Practice address
419 E DAVIS ST, LULING, TX 78648-2316
(830) 875-2311
(830) 875-6199
Mailing address
419 E DAVIS ST, LULING, TX 78648-2316
(830) 875-2311
(830) 875-6199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141100
—
TX
01
—
4526301
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
12/22/2009
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