Provider Demographics
NPI:1316795982
Name:S&M HEALTH LLC
Entity type:Organization
Organization Name:S&M HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:903-373-1384
Mailing Address - Street 1:980 E 87TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-1318
Mailing Address - Country:US
Mailing Address - Phone:432-257-3732
Mailing Address - Fax:432-257-3734
Practice Address - Street 1:980 E 87TH ST STE C
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79765-1318
Practice Address - Country:US
Practice Address - Phone:432-257-3732
Practice Address - Fax:432-257-3734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy