Organization
FAMILY PHARMACY OF POTTSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTY L. WASHBURN (OWNER)
(903) 786-2006
Entity
Organization
Contact information
Practice address
111 HIWAY 120E, SUITE 101, POTTSBORO, TX 75076-0000
(903) 786-2006
(903) 786-4542
Mailing address
111 HIWAY 120E, SUITE 101, POTTSBORO, TX 75076-0000
(903) 786-2006
(903) 786-4542
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143175
—
TX
01
—
4572726
NCPDP NUMBER
—
Enumeration date
10/05/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us