Provider Demographics
NPI:1144218850
Name:MCCALL DRUG INC
Entity Type:Organization
Organization Name:MCCALL DRUG INC
Other - Org Name:JONES MCCALL PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:REINHARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-872-5453
Mailing Address - Street 1:1605 N BRYAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAMESA
Mailing Address - State:TX
Mailing Address - Zip Code:79331-3144
Mailing Address - Country:US
Mailing Address - Phone:806-872-5453
Mailing Address - Fax:806-872-8689
Practice Address - Street 1:1605 N BRYAN AVE
Practice Address - Street 2:
Practice Address - City:LAMESA
Practice Address - State:TX
Practice Address - Zip Code:79331-3144
Practice Address - Country:US
Practice Address - Phone:806-872-5453
Practice Address - Fax:806-872-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX18860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01022OtherPHARMACY LICENSE
TXF0001946OtherDPS LICENSE
TX130956Medicaid
TX4525068OtherNABP
TX4525068OtherNABP