Awalt-stephenson Drug is a health care provider in Fairfield, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 201 E Commerce St, Ste A, Fairfield, TX 75840-1509, US |
|Practice Location Phone||903-389-2157|
|Practice Location Fax||903-389-8939|
|Legal Business Name||AWALT-STEPHENSON DRUG|
|Other Organization Name||LTC DYNAMICS|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Feb 18, 2009|
|Last Update Date ? ||Apr 12, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Awalt-stephenson Drug
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Long Term Care Pharmacy ||26308||Texas|
Legacy Provider IDs of Awalt-stephenson Drug
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Awalt-stephenson Drug
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Awalt-stephenson Drug's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Vance Oglesbee|
|Authorized Official Title/Position||PIC|
|Authorized Official Phone Number||903-389-2157|