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CEDAR CREEK PHARMACY NPI 1003800160


NPI Information

NPI: 1003800160
Provider Name: CEDAR CREEK PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
606 S SEVEN POINTS DR
SEVEN POINTS, TX
ZIP 75143
Phone: (903) 432-2223
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CEDAR CREEK PHARMACY is a pharmacy in Seven Points, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CEDAR CREEK PHARMACY NPI is 1003800160. The provider is registered as an organization entity type.

The provider's business location address is:

606 S SEVEN POINTS DR
SEVEN POINTS, TX
ZIP 75143-117
Phone: (903) 432-2223
Fax: (903) 432-2647

The provider's authorized official is Edgar Jimenez .
The authorized official title is Pharmacist In Charge/manager and has the following contact phone number (903) 432-3484.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy04235TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1144656MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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