Provider Demographics
NPI:1346326683
Name:HEALTH AND HUMAN SERVICES COMMISSION
Entity Type:Organization
Organization Name:HEALTH AND HUMAN SERVICES COMMISSION
Other - Org Name:SAN ANGELO STATE SUPPORTED LIVING CENTER PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOCIATE COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALCHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-438-3076
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:TX
Mailing Address - Zip Code:76934-0038
Mailing Address - Country:US
Mailing Address - Phone:325-465-4391
Mailing Address - Fax:325-465-2878
Practice Address - Street 1:11640 US HIGHWAY 87 N
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:TX
Practice Address - Zip Code:76934-7000
Practice Address - Country:US
Practice Address - Phone:325-465-4391
Practice Address - Fax:325-465-2878
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH AND HUMAN SERVICES COMMISSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-30
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69603336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4538255OtherNCPDP