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NPI Code Detail

MEDICARE: STRIPLINGS PHARMACY LLC

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
13336C0003XCommunity/Retail Pharmacy27798TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12133752OTHERPK

General Provider Information

NPI Number : 1386718674
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 : 936-564-4646
Fax Number : 936-560-6675
Provider Business Practice Location Address
First Line : 1205 N MOUND ST
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75961-4028
Country : US
Telephone Number : 936-564-4646
Fax Number : 936-560-6675
Authorized Official
Title or Position : MANAGER
Name : GARTH HINZE
Credential :
Telephone Number : 936-564-7373
Provider Enumeration Date : 11/20/2006
Last Update Date : 02/05/2025

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Directions to “STRIPLINGS PHARMACY LLC ” Practice Location

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