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Organization

PORT ARANSAS PHARMACY, L.C.

Active
Other names
Port Aransas Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN STOGNER (CFO)
(903) 893-0677
Entity
Organization

Contact information

Practice address
2131 STATE HIGHWAY 361, PORT ARANSAS, TX 78373-4801
(361) 749-1725
Mailing address
PO BOX 2407, SHERMAN, TX 75091-2407

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23841
TX
333600000X
Pharmacy
23841
TX
3336C0003X
Community/Retail Pharmacy
23841
TX
3336C0004X
Compounding Pharmacy
Primary
23841
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145480
TX
05
1736738
TX
Enumeration date
12/16/2005
Last updated
09/11/2025
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