Provider Demographics
NPI:1235241142
Name:FROGGE ENTERPRISES INC
Entity Type:Organization
Organization Name:FROGGE ENTERPRISES INC
Other - Org Name:FAMILY PHARMACY OF PAMPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FROGGE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-669-1033
Mailing Address - Street 1:1827 N HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-3410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1827 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-3410
Practice Address - Country:US
Practice Address - Phone:806-669-1033
Practice Address - Fax:806-669-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12769333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143240Medicaid
4567953OtherOTHER ID NUMBER-COMMERCIAL NUMBER