Provider Demographics
NPI:1669584579
Name:A & L INC
Entity type:Organization
Organization Name:A & L INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER VP
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-432-3494
Mailing Address - Street 1:PO BOX 43642
Mailing Address - Street 2:
Mailing Address - City:SEVEN POINTS
Mailing Address - State:TX
Mailing Address - Zip Code:75143-8508
Mailing Address - Country:US
Mailing Address - Phone:903-432-3494
Mailing Address - Fax:903-432-2578
Practice Address - Street 1:205 W CEDAR CREEK PKWY STE A1
Practice Address - Street 2:
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143-8087
Practice Address - Country:US
Practice Address - Phone:903-432-3494
Practice Address - Fax:903-432-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX01899A3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143184Medicaid
2093029OtherPK
2093029OtherPK