institution
Pecos Street Pharmacy, Inc.
Long Term Care Pharmacy in San Angelo, Texas
NPI 1659374379

Pecos Street Pharmacy, Inc. is a Long Term Care Pharmacy based in San Angelo, TX and is specialized in Long Term Care Pharmacy. Pecos Street Pharmacy, Inc. practices in San Angelo, TX. The NPI Number for Pecos Street Pharmacy, Inc. is 1659374379 and holds a License No. 13819 (Texas).

The current practice location address for Pecos Street Pharmacy, Inc. is 2102 Pecos St, San Angelo, TX and can be reached out via phone at 325-949-5381 and via fax at 325-942-9997. You can also correspond with Pecos Street Pharmacy, Inc. through the mailing address at 2102 PECOS ST, SAN ANGELO, TX - 76901-3061 (mailing address contact number: 325-949-5381).

Location: 2102 Pecos St, San Angelo, TX, 76901-3061
institution
Provider Profile Details
NPI Number
1659374379
Provider Name
Pecos Street Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
2102 Pecos St, San Angelo, TX, 76901-3061
Phone Number
325-949-5381
Fax Number
325-942-9997
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350004 05 TX
4586307 01 TX NABP NUMBER
institution
Provider Business Practice Location Address Details
Address
2102 Pecos St
City
State
Zip
76901-3061
Phone Number
325-949-5381
Fax Number
325-942-9997
person
Provider Business Mailing Address Details
Address
2102 Pecos St
City
State
Zip
76901-3061
Phone Number
325-949-5381
Fax Number
325-942-9997
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
13819 (Texas)
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
Long Term Care Pharmacy
Taxonomy
License No.
13819 (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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