Organization · Type 2 NPI

Brickstreet Long Term Care, LLC

Long Term Care Pharmacy · Tyler, TX

NPI number 1104240068 Active

Practice location

312 W Rusk St, Suite B
Tyler, TX 75701-1513

Call (903) 533-8157 Map

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003X29024 (TX)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1104240068

Brickstreet Long Term Care, LLC's National Provider Identifier is 1104240068, issued on Feb 13, 2014. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Tyler, TX. The record was last updated on Feb 13, 2014.