Provider Demographics
NPI:1467251603
Name:ASM PHARMACY, LLC
Entity type:Organization
Organization Name:ASM PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. PHARMACY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-793-0811
Mailing Address - Street 1:230 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-4899
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 PIONEER RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-4899
Practice Address - Country:US
Practice Address - Phone:972-882-7125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASM PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy