Provider Demographics
NPI:1568580215
Name:SATTERWHITE &SONS INC
Entity Type:Organization
Organization Name:SATTERWHITE &SONS INC
Other - Org Name:SATTERWHITES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SATTERWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:409-283-3758
Mailing Address - Street 1:202 N BEECH ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-4720
Mailing Address - Country:US
Mailing Address - Phone:409-283-3758
Mailing Address - Fax:409-283-7976
Practice Address - Street 1:202 N BEECH ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-4720
Practice Address - Country:US
Practice Address - Phone:409-283-3758
Practice Address - Fax:409-283-7976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11283OtherPHARMACY STATE LICENSE #
TX142824Medicaid
TX4549359OtherNCPDP NUMBER
TX4549359OtherNCPDP NUMBER