Organization
LONGBINES PHARMACY INC
Active
Other names
GAIL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL WALKER RPH (OWNER)
(940) 683-4011
Entity
Organization
Contact information
Practice address
810 WW RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-4011
(940) 683-4981
Mailing address
810 WW RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-4011
(940) 683-4981
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142136
—
TX
01
—
2093710
PK
—
Enumeration date
01/03/2007
Last updated
11/09/2015
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