Provider Demographics
NPI:1750409413
Name:TAFT PHARMACY, INC.
Entity type:Organization
Organization Name:TAFT PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:361-528-2012
Mailing Address - Street 1:PO BOX 213
Mailing Address - Street 2:
Mailing Address - City:TAFT
Mailing Address - State:TX
Mailing Address - Zip Code:78390
Mailing Address - Country:US
Mailing Address - Phone:361-528-2012
Mailing Address - Fax:361-528-2431
Practice Address - Street 1:213 MEYERS
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:TX
Practice Address - Zip Code:78390
Practice Address - Country:US
Practice Address - Phone:361-528-2012
Practice Address - Fax:361-528-2431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX046143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141573Medicaid
TX4532354OtherNABP