MEDICARE: VISTA PHARMACY, 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	3336C0003X	Community/Retail Pharmacy	27107	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27107	OTHER	TX	TEXAS STATE BOARD OF PHARMACY

General Provider Information

NPI Number	:	1952619371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA PHARMACY, INC

Provider Business Mailing Address
First Line	:	120 W MACARTHUR ST
Second Line	:	SUITE 121
City	:	SHAWNEE
State	:	OK
Zip	:	74804-2007
Country	:	US
Telephone Number	:	405-878-0202
Fax Number	:	405-273-6007

Provider Business Practice Location Address
First Line	:	1610-A MAIN ST.
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3518
Country	:	US
Telephone Number	:	325-446-8106
Fax Number	:	325-446-8160

Authorized Official
Title or Position	:	VP-PIC
Name	:	MR. JAMES FLOYD BUTLER
Credential	:	RPH
Telephone Number	:	325-446-8106

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	09/20/2010

Similar Medicare Providers

1780624569 — MBKO INC
Practice Location Address:

1610 MAIN ST
JUNCTION, TX
76849-3518

Practice Phone: 325-446-2511
Practice Fax: 325-446-3889

1912068248 — MR. HYONBO KO RPH
Practice Location Address:

1610 MAIN ST
JUNCTION, TX
76849-3518

Practice Phone: 325-446-2511
Practice Fax:

1780270892 — JAMES FLOYD BUTLER
Practice Location Address:

1610 MAIN ST
JUNCTION, TX
76849-3518

Practice Phone: 325-446-2511
Practice Fax:

1841952108 — CITY PHARMACY OF JUNCTION INC
Practice Location Address:

1610 MAIN ST
JUNCTION, TX
76849-3518

Practice Phone: 325-446-2511
Practice Fax: 325-446-3889

1114923331 — ALBERTO NOE MARTINEZ M.D.
Practice Location Address:

1003 COLLEGE ST
JUNCTION, TX
76849-4632

Practice Phone: 325-446-3999
Practice Fax:

1699756601 — MRS. JOI DARYLENE SHELDON ALLS P.T.
Practice Location Address:

225 S 12TH ST
JUNCTION, TX
76849-5201

Practice Phone: 325-215-4678
Practice Fax: 325-446-8175

Directions to “VISTA PHARMACY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.