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LONGBINES PHARMACY INC NPI 1881751287


NPI Information

NPI: 1881751287
Provider Name: LONGBINES PHARMACY INC

Doing Business As: GAIL'S PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2155741

Address:
810 WW RAY CIR
BRIDGEPORT, TX
ZIP 76426
Phone: (940) 683-4011
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LONGBINES PHARMACY INC is a community/retail pharmacy pharmacy in Bridgeport, 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. LONGBINES PHARMACY INC NPI is 1881751287. The provider is registered as an organization entity type.
The provider Is Doing Business As Gail's Pharmacy.

The provider's business location address is:

810 WW RAY CIR
BRIDGEPORT, TX
ZIP 76426-061
Phone: (940) 683-4011
Fax: (940) 683-4981

The provider's authorized official is Gail Walker .
The authorized official title is Owner and has the following contact phone number (940) 683-4011.

The CLIA number assigned to this NPI record is 45D2155741 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 11/9/2015.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy6207TEXASYes

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
12093710OTHERPK
2142136MEDICAIDTEXAS

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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