Healthcare Provider Details

I. General information

NPI: 1801822549
Provider Name (Legal Business Name): PARKERS CITY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E COURT ST
SEGUIN TX
78155-5843
US

IV. Provider business mailing address

1005 E COURT ST
SEGUIN TX
78155-5843
US

V. Phone/Fax

Practice location:
  • Phone: 830-379-1450
  • Fax: 830-372-3211
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19343
License Number StateTX

VIII. Authorized Official

Name: DOUGLAS PARKER
Title or Position: PRESIDENT
Credential:
Phone: 830-379-1450