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CRIMSON CARE PHARMACY GROUP II LLC NPI 1053641639


NPI Information

NPI: 1053641639
Provider Name: CRIMSON CARE PHARMACY GROUP II, LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2238022

Address:
1505 S BROADWAY ST
SULPHUR SPRINGS, TX
ZIP 75482
Phone: (903) 885-2639
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CRIMSON CARE PHARMACY GROUP II, LLC is a community/retail pharmacy pharmacy in Sulphur Springs, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CRIMSON CARE PHARMACY GROUP II, LLC NPI is 1053641639. The provider is registered as an organization entity type.

The provider's business location address is:

1505 S BROADWAY ST
SULPHUR SPRINGS, TX
ZIP 75482-921
Phone: (903) 885-2639
Fax: (903) 335-8989

The provider's authorized official is Nan Bass .
The authorized official title is Cpht, Office Manager and has the following contact phone number (903) 885-2639.

The CLIA number assigned to this NPI record is 45D2238022 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 6/27/2023.


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
13336C0003XPharmacyCommunity/Retail Pharmacy31656TEXASYes

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
1146094MEDICAIDTEXAS
22123369OTHERPK

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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