Healthcare Provider Details

I. General information

NPI: 1912096850
Provider Name (Legal Business Name): KINDLE DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E GARLAND ST
GRAND SALINE TX
75140-1984
US

IV. Provider business mailing address

511 E GARLAND ST
GRAND SALINE TX
75140-1984
US

V. Phone/Fax

Practice location:
  • Phone: 903-962-3900
  • Fax: 903-962-7456
Mailing address:
  • Phone: 903-962-3900
  • Fax: 903-962-7456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number06806
License Number StateTX

VIII. Authorized Official

Name: KERRY KINDLE
Title or Position: PHARMACIST
Credential:
Phone: 903-962-3900