Provider Demographics
NPI:1942245162
Name:ATKINS PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:ATKINS PHARMACY SERVICES INC
Other - Org Name:ATKINS PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-693-2972
Mailing Address - Street 1:701 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5720
Mailing Address - Country:US
Mailing Address - Phone:830-693-2972
Mailing Address - Fax:830-693-8916
Practice Address - Street 1:701 3RD ST
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5720
Practice Address - Country:US
Practice Address - Phone:830-693-2972
Practice Address - Fax:830-693-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
TX161933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2099248OtherPK
TX144164Medicaid
2099248OtherPK