Clarendon Outpost
Pharmacy, Long Term Care Pharmacy in Clarendon, TX. Organization (NPI-2).
NPI number1982122115
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1982122115
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarendon Outpost
- Organization subpart
- No
- Enumeration date
- Sep 8, 2017
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 16767 | TX | Yes |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
619 W 2nd StClarendon, TX 79226
Phone 806-874-5202 · Fax 806-874-5204
Mailing address
Po Box 927Clarendon, TX 79226-0927
Phone 806-874-5202 · Fax 806-874-5204
Authorized official
Elmonette E Bivens
Pharmacist In Charge
8068745202
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