NPI 1477598514 · live from the CMS NPI Registry
Abeldt Enterprises, INC.
Pharmacy, Long Term Care Pharmacy in Tyler, TX. National Provider Identifier 1477598514, active.
NPI record
| NPI | 1477598514 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 314 W Rusk St, Tyler, TX 75701 |
| Practice phone | 903-533-8155 |
| Enumerated | June 20, 2006 |
| Last updated | September 21, 2021 |
| Authorized official | Jeffrey Abeldt, Owner |
| Other names | Abeldt Enterprises, INC. Dba Brickstreet Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 21015 (TX) |
| Pharmacy, Long Term Care Pharmacy primary | 3336L0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.