Provider Demographics
NPI:1124185574
Name:ALBRECHTS PHARMACY INC
Entity Type:Organization
Organization Name:ALBRECHTS PHARMACY INC
Other - Org Name:ALBRECHTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM
Authorized Official - Prefix:
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:254-675-8398
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TX
Mailing Address - Zip Code:76634-0273
Mailing Address - Country:US
Mailing Address - Phone:254-675-8398
Mailing Address - Fax:254-675-4355
Practice Address - Street 1:506 W 5TH ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TX
Practice Address - Zip Code:76634-1615
Practice Address - Country:US
Practice Address - Phone:254-675-8398
Practice Address - Fax:254-675-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144837Medicaid
2103274OtherPK
0975160001Medicare NSC