Organization
SCRIPT CO
Active
Other names
Lufkin Pharmacy & Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRADLEY (DIRECTOR)
(936) 462-3666
Entity
Organization
Contact information
Practice address
903 W FRANK AVE, LUFKIN, TX 75904-3318
(936) 634-3006
(936) 639-3624
Mailing address
903 W FRANK AVE, LUFKIN, TX 75904-3318
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12919
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143385
—
TX
05
—
163671401
—
TX
05
—
163671402
—
TX
01
—
4577524
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
677615
AADE
—
Enumeration date
07/15/2006
Last updated
02/05/2025
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