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King Ltc Llc
Long Term Care Pharmacy in Beaumont, Texas
NPI 1093019259

King Ltc Llc is a Long Term Care Pharmacy based in Beaumont, TX and is specialized in Long Term Care Pharmacy. King Ltc Llc practices in Beaumont, TX. The NPI Number for King Ltc Llc is 1093019259 and holds a License No. 27291 (Texas).

The current practice location address for King Ltc Llc is 755 S 11Th Street, Suite 101, Beaumont, TX and can be reached out via phone at 409-832-6100 and via fax at 409-832-0159.

Location: 755 S 11Th Street, Suite 101, Beaumont, TX, 77701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093019259
Provider Name
King Ltc Llc
Credential
Provider Entity Type
Organization
Address
755 S 11Th Street, Suite 101, Beaumont, TX, 77701
Phone Number
409-832-6100
Fax Number
409-832-0159
Provider Enumeration Date
01/03/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27291T 01 TX PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
755 S 11Th Street, Suite 101
City
Beaumont
State
Texas
Zip
77701
Phone Number
409-832-6100
Fax Number
409-832-0159
person
Provider Business Mailing Address Details
Address
755 S 11Th Street, Suite 101
City
Beaumont
State
Texas
Zip
77701
Phone Number
409-832-6100
Fax Number
409-832-0159
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
27291 (Texas)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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