1699819995 NPI number — LOCK,S DRUG STORE AT BASTROP,INC

Table of content: (NPI 1699819995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699819995 NPI number — LOCK,S DRUG STORE AT BASTROP,INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOCK,S DRUG STORE AT BASTROP,INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOCK DRUG
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699819995
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 HIGHWAY 71 W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BASTROP
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78602-3726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-321-2422
Provider Business Mailing Address Fax Number:
512-303-2180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 HIGHWAY 71 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BASTROP
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78602-3726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-321-2422
Provider Business Practice Location Address Fax Number:
512-303-2180
Provider Enumeration Date:
02/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MOHRMANN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRES
Authorized Official Telephone Number:
830-672-2317

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  04340 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 141477 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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