Provider Demographics
NPI:1225043672
Name:D&S PHARMACIES, INC.
Entity Type:Organization
Organization Name:D&S PHARMACIES, INC.
Other - Org Name:D&S DRUG MART #5
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-352-2711
Mailing Address - Street 1:3324 S GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3446
Mailing Address - Country:US
Mailing Address - Phone:806-352-2711
Mailing Address - Fax:806-358-1752
Practice Address - Street 1:3324 S GEORGIA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3446
Practice Address - Country:US
Practice Address - Phone:806-352-2711
Practice Address - Fax:806-358-1752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143966Medicaid
TX163793602Medicaid
TX15277OtherSTATE STORE LICENSE
TX163793601Medicaid
TX163793601Medicaid
TX163793602Medicaid
TX0760640001Medicare NSC