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NPI Code Detail

MEDICARE: HARVEST DRUG & GIFT LP

MEDICARE: HARVEST DRUG & GIFT LP
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 Pharmacy

Other Identifiers

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

General Provider Information

NPI Number : 1639173321
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARVEST DRUG & GIFT LP
Provider Business Mailing Address
First Line : 4426 KELL BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76309-4719
Country : US
Telephone Number : 940-692-7081
Fax Number : 940-692-9676
Provider Business Practice Location Address
First Line : 4426 KELL BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76309-4719
Country : US
Telephone Number : 940-692-7081
Fax Number : 940-692-9676
Authorized Official
Title or Position : PHARMACIST
Name : SAMANTHA BEARD
Credential : PHARMD
Telephone Number : 940-692-7081
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/23/2024

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Directions to “HARVEST DRUG & GIFT LP ” Practice Location

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