Provider Demographics
NPI:1144622259
Name:518 PHARMACEUTICAL SERVICES LLC
Entity Type:Organization
Organization Name:518 PHARMACEUTICAL SERVICES LLC
Other - Org Name:LONE STAR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:COLIN
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:409-750-1005
Mailing Address - Street 1:13230 FM 1764 RD STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9673
Mailing Address - Country:US
Mailing Address - Phone:409-925-9995
Mailing Address - Fax:409-925-9991
Practice Address - Street 1:13230 FM 1764 RD STE B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-9673
Practice Address - Country:US
Practice Address - Phone:409-925-9995
Practice Address - Fax:409-925-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX295233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy