Provider Demographics
NPI:1518983477
Name:SYNERGISTIC BUSINESS SERVICES INC
Entity Type:Organization
Organization Name:SYNERGISTIC BUSINESS SERVICES INC
Other - Org Name:DOCS DRUGSTORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:325-643-3800
Mailing Address - Street 1:3800 HIGHWAY 377 S
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5120
Mailing Address - Country:US
Mailing Address - Phone:325-643-3800
Mailing Address - Fax:325-643-3811
Practice Address - Street 1:3800 HIGHWAY 377 S
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5120
Practice Address - Country:US
Practice Address - Phone:325-643-3800
Practice Address - Fax:325-643-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX245343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145613Medicaid
2098868OtherPK