Organization · NPI-2
Abeldt Enterprises, INC.
Pharmacy, Long Term Care Pharmacy · Tyler, TX
NPI number1477598514
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1477598514
- Entity type
- Organization (NPI-2)
- Legal business name
- Abeldt Enterprises, INC.
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Certification date
- Sep 2, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21015 | TX |
Other names
- Abeldt Enterprises, INC. Dba Brickstreet Pharmacy (Doing Business As)
Practice location
314 W Rusk StTyler, TX 75701-1513
Phone 903-533-8155 · Fax 903-533-8158
Mailing address
314 W Rusk StTyler, TX 75701-1513
Authorized official
Jeffrey V Abeldt
Owner
9035338155
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