Organization
ABELDT'S GASLIGHT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFORD T ABELDT RPH (PRESIDENT)
(936) 639-2346
Entity
Organization
Contact information
Practice address
200 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 639-2346
Mailing address
200 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 639-2346
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
04196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750675
BCBS-HOME INFUSION THERAPY
TX
Enumeration date
09/19/2008
Last updated
09/19/2008
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