NPI | 1477598514 |
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Doing Business As | ABELDT ENTERPRISES, INC. DBA BRICKSTREET PHARMACY |
Entity Type | Organization |
Authorized Contact | JEFFREY V ABELDT Owner 903-533-8155 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21015) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2021-09-21 |