Provider Demographics
NPI:1912096850
Name:KINDLE DRUG INC
Entity type:Organization
Organization Name:KINDLE DRUG INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-962-3900
Mailing Address - Street 1:511 E GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:GRAND SALINE
Mailing Address - State:TX
Mailing Address - Zip Code:75140-1984
Mailing Address - Country:US
Mailing Address - Phone:903-962-3900
Mailing Address - Fax:903-962-7456
Practice Address - Street 1:511 E GARLAND ST
Practice Address - Street 2:
Practice Address - City:GRAND SALINE
Practice Address - State:TX
Practice Address - Zip Code:75140-1984
Practice Address - Country:US
Practice Address - Phone:903-962-3900
Practice Address - Fax:903-962-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX068063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4251580001Medicare NSC