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Organization

KEGAN'S INC

Active
Other names
Leonard Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
HERBERT EUGENE KEGANS RPH (OWNER/PHARMACIST)
(903) 587-3363
Entity
Organization

Contact information

Practice address
122 W COLLINS ST, LEONARD, TX 75452-2642
(903) 587-3363
(903) 587-2714
Mailing address
PO BOX 1229, 122 W COLLINS, LEONARD, TX 75452-1229
(903) 587-3363
(903) 587-2714

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
04872
TX
3336C0003X
Community/Retail Pharmacy
Primary
04872
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013678001
TX
05
091635501
TX
Enumeration date
09/26/2005
Last updated
08/09/2011
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