Healthcare Provider Details

I. General information

NPI: 1881763860
Provider Name (Legal Business Name): HJT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SOUTH MAIN STREET
ALBANY TX
76430-1148
US

IV. Provider business mailing address

104 SOUTH MAIN STREET PO BOX 1148
ALBANY TX
76430-1148
US

V. Phone/Fax

Practice location:
  • Phone: 325-762-3344
  • Fax: 325-762-3915
Mailing address:
  • Phone: 325-762-3344
  • Fax: 325-762-3915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number05995
License Number StateTX

VIII. Authorized Official

Name: MR. HOWARD L TODD
Title or Position: PRES
Credential: R. PH.
Phone: 325-762-3344