NPI Registry.org

Childress Outpost Pharmacy Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHILDRESS OUTPOST PHARMACY INC18113322572024-07-05

The organization Childress Outpost Pharmacy Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1811332257. Registration indicates Childress Outpost Pharmacy Inc is a provider of access to pharmacies services with a specialization in Suppliers, Pharmacy (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )

Entity TypeOrganization
Provider OrganizationCHILDRESS OUTPOST PHARMACY INC
Other Provider OrganizationCLUTCH HEALTH PHARMACY
Practice Office Address805 HWY 83 N.
CHILDRESS, TX US
Practice Office Telephone9409379030
Practice Office Fax9409379010
Mailing AddressPO BOX 1213
CHILDRESS, TX 792011213 US
Business Telephone9409379030
Business Fax9409379010
Authorized OfficialBENJAMIN BUCKAREFF, BILLING MANAGER
9409379030
HPT Codes
CodePractice
License No
State
3336C0003X PRIMARYAccess to Pharmacies
Suppliers
Pharmacy
Suppliers
Pharmacy
Pharmacy: Community/Retail Pharmacy

Pharmacy/DME

Pharmacy Community/Retail Pharmacy
Suppliers
Pharmacy
28509
OPI Codes
148317 MEDICAID TX
28509 OTHER TX TEXAS STATE BOA
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