MEDICARE: HARREL DRUG CO

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	3336C0003X	Community/Retail Pharmacy	3097	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2098043	OTHER		PK

General Provider Information

NPI Number	:	1447257951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARREL DRUG CO

Provider Business Mailing Address
First Line	:	PO BOX 1437
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78364-1437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E KLEBERG AVE
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4573
Country	:	US
Telephone Number	:	361-592-9385
Fax Number	:	361-592-4303

Authorized Official
Title or Position	:	PIC/OWNER
Name	:	NICK HARREL
Credential	:	RPH
Telephone Number	:	361-592-3355

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/11/2016

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Directions to “HARREL DRUG CO ” Practice Location

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