Provider Demographics
NPI:1558182725
Name:PHARMHOUSE DRUGS & GIFTS, LLC
Entity type:Organization
Organization Name:PHARMHOUSE DRUGS & GIFTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:806-990-8888
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:POST
Mailing Address - State:TX
Mailing Address - Zip Code:79356-0643
Mailing Address - Country:US
Mailing Address - Phone:806-990-8888
Mailing Address - Fax:806-375-5074
Practice Address - Street 1:408 W 8TH ST
Practice Address - Street 2:
Practice Address - City:POST
Practice Address - State:TX
Practice Address - Zip Code:79356-3114
Practice Address - Country:US
Practice Address - Phone:806-990-8888
Practice Address - Fax:806-375-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy