MEDICARE: SCHULENBURG MEDICAL ASSOCIATES APOTHECARY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1730807066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHULENBURG MEDICAL ASSOCIATES APOTHECARY, INC

Provider Business Mailing Address
First Line	:	38 EAST AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1611
Country	:	US
Telephone Number	:	979-743-3265
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 EAST AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1611
Country	:	US
Telephone Number	:	979-743-3265
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NIPUL K PATEL
Credential	:
Telephone Number	:	281-593-3800

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	08/22/2022

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