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Organization

3 ROBERT LLC

Active
Other names
Kingsland Health Mart
Organization subpart
No

Provider details

NPI number
Authorized official
TODD HUMPHRIES (OWNER)
(325) 388-4593
Entity
Organization

Contact information

Practice address
306 RANCH ROAD 2900, KINGSLAND, TX 78639-6063
(325) 388-4593
(325) 388-4594
Mailing address
PO BOX 4, KINGSLAND, TX 78639-0004
(325) 388-4593
(325) 388-4594

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27621
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2135557
PK
Enumeration date
01/26/2007
Last updated
12/07/2015
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform