Organization · Type 2 NPI

The Med Shop

Pharmacy · Jefferson, TX

NPI number 1124116561 Active

Practice location

110 N . Walnut
Jefferson, TX 75657

Fax (903) 665-2526

Mailing address

110 N Walnut
Jefferson, TX 75657

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) 332BX2000X25114 (TX)
Pharmacy Primary 333600000X25114 (TX)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

About NPI 1124116561

The Med Shop's National Provider Identifier is 1124116561, issued on Oct 11, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jefferson, TX. The record was last updated on Sep 11, 2025.