Healthcare Provider Details

I. General information

NPI: 1972595486
Provider Name (Legal Business Name): KERRVILLE DRUG CO., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 JUNCTION HWY
KERRVILLE TX
78028-4902
US

IV. Provider business mailing address

1050 JUNCTION HWY
KERRVILLE TX
78028-4902
US

V. Phone/Fax

Practice location:
  • Phone: 830-895-2273
  • Fax: 830-895-2769
Mailing address:
  • Phone: 830-895-3784
  • Fax: 830-895-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number04925
License Number StateTX

VIII. Authorized Official

Name: MELISSA LYNN SCHMIDT
Title or Position: VP/PIC
Credential:
Phone: 830-895-3784