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City Drug Store Of Jacksboro, Inc
Compounding Pharmacy in Jacksboro, Texas
NPI 1093827909

City Drug Store Of Jacksboro, Inc is a Compounding Pharmacy based in Jacksboro, TX and is specialized in Compounding Pharmacy. City Drug Store Of Jacksboro, Inc practices in Jacksboro, TX. The NPI Number for City Drug Store Of Jacksboro, Inc is 1093827909 and holds a License No. (Texas).

The current practice location address for City Drug Store Of Jacksboro, Inc is 104 E Belknap St, Jacksboro, TX and can be reached out via phone at 940-567-5576 and via fax at 940-567-3815.

Location: 104 E Belknap St, Jacksboro, TX, 76458-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093827909
Provider Name
City Drug Store Of Jacksboro, Inc
Credential
Provider Entity Type
Organization
Address
104 E Belknap St, Jacksboro, TX, 76458-2401
Phone Number
940-567-5576
Fax Number
940-567-3815
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120408 05 TX
2097943 01 PK
institution
Provider Business Practice Location Address Details
Address
104 E Belknap St
City
Jacksboro
State
Texas
Zip
76458-2401
Phone Number
940-567-5576
Fax Number
940-567-3815
person
Provider Business Mailing Address Details
Address
104 E Belknap St
City
Jacksboro
State
Texas
Zip
76458-2401
Phone Number
940-567-5576
Fax Number
940-567-3815
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
139 (Texas)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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