Home » Texas » 75840 » Awalt-stephenson Drug

Awalt-stephenson Drug

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.

physician-icon Basic Information

Practice Location 201 E Commerce St, Ste A, Fairfield, TX 75840-1509, US
Practice Location Phone903-389-2157
Practice Location Fax903-389-8939
Legal Business NameAWALT-STEPHENSON DRUG
Other Organization NameLTC DYNAMICS
Other Organization Name TypeDoing Business As Name
NPI ?1386883171
Entity TypeOrganization
Enumeration Date ? Feb 18, 2009
Last Update Date ? Apr 12, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Awalt-stephenson Drug

SpecialtySpecializationLicenseLicense State
PharmacyLong Term Care Pharmacy 26308Texas

legacy-id-icon Legacy Provider IDs of Awalt-stephenson Drug

Provider IdIssuer StateIssuer TypeIssuer
2119068OtherPK

official-icon 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/PositionPIC
Authorized Official Phone Number903-389-2157