Provider Demographics
NPI:1295077683
Name:EAGLE PHARMACY
Entity type:Organization
Organization Name:EAGLE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:DROBLYN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:903-376-1881
Mailing Address - Street 1:1404 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-6267
Mailing Address - Country:US
Mailing Address - Phone:903-881-5752
Mailing Address - Fax:888-374-1180
Practice Address - Street 1:1404 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-6267
Practice Address - Country:US
Practice Address - Phone:903-881-5752
Practice Address - Fax:888-374-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX286493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5908314OtherNCPDP
TX28649OtherSTATE LICENSE
TXFE4102303OtherDEA