Organization
LIFECHEK MAGNOLIA LLC
Active
Parent organization
LIFECHEK AUCHAN PARTNERS LTD
Other names
LIFECHEK
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFECHEK AUCHAN PARTNERS LTD
Authorized official
COLIN GINGRICH (COMPLIANCE COORDINATOR)
(281) 232-3940
Entity
Organization
Contact information
Practice address
110 E TRAVIS ST, LA GRANGE, TX 78945-2615
(979) 968-5835
(979) 968-8580
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
26126
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098055
PK
—
05
—
470314
—
TX
Enumeration date
08/31/2006
Last updated
04/10/2017
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