Healthcare Provider Details

I. General information

NPI: 1801955273
Provider Name (Legal Business Name): PILOT POINT PHARMACY LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 N HIGHWAY 377 STE 100
PILOT POINT TX
76258
US

IV. Provider business mailing address

PO BOX 2407
SHERMAN TX
75091-2407
US

V. Phone/Fax

Practice location:
  • Phone: 940-686-0123
  • Fax: 940-686-0170
Mailing address:
  • Phone: 903-893-0677
  • Fax: 903-893-3639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number25338
License Number StateTX

VIII. Authorized Official

Name: RHONDA HINDSLEY
Title or Position: SECRETARY
Credential:
Phone: 903-893-0677