MEDICARE: STRIPLINGS PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1033480348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRIPLINGS PHARMACY, LLC

Provider Business Mailing Address
First Line	:	1205 N MOUND ST
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75961-4028
Country	:	US
Telephone Number	:	936-564-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 N MOUND ST
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75961-4028
Country	:	US
Telephone Number	:	281-217-3425
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. GARTH HINZE
Credential	:	MBA
Telephone Number	:	281-217-3425

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	02/05/2025

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