Provider Demographics
NPI:1558149302
Name:CP HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CP HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTALYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:806-292-4079
Mailing Address - Street 1:920 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:ABERNATHY
Mailing Address - State:TX
Mailing Address - Zip Code:79311-3437
Mailing Address - Country:US
Mailing Address - Phone:806-298-2222
Mailing Address - Fax:
Practice Address - Street 1:920 AVENUE D
Practice Address - Street 2:
Practice Address - City:ABERNATHY
Practice Address - State:TX
Practice Address - Zip Code:79311-3437
Practice Address - Country:US
Practice Address - Phone:806-298-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CP HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy