DON HOUSTON INC. NPI 1467474411

NPI Information

NPI: 1467474411
Provider Name: DON HOUSTON, INC.

Doing Business As: DESOTO DRUG STORE

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
297 N MARION AVE
LAKE CITY, FL
ZIP 32055
Phone: (386) 752-1793
Get Directions

DON HOUSTON, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Lake City, FL. DON HOUSTON, INC. NPI is 1467474411. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Drug Store.

The provider's business location address is:

297 N MARION AVE
LAKE CITY, FL
ZIP 32055-866
Phone: (386) 752-1793
Fax: (386) 752-0611

The provider's authorized official is Donald Ray Houston .
The authorized official title is President and has the following contact phone number (386) 752-1793.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PH630	FLORIDA	Yes
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	PH630	FLORIDA	X
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	PH630	FLORIDA	X
4	335E00000X	Prosthetic/Orthotic Supplier		PH630	FLORIDA	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1052163	OTHER		NABP

What is NPI?

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

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