Provider Demographics
NPI:1992507313
Name:P&P PHARMACY GROUP LLC
Entity type:Organization
Organization Name:P&P PHARMACY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:PEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-592-3137
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-0112
Mailing Address - Country:US
Mailing Address - Phone:254-386-3111
Mailing Address - Fax:254-386-8844
Practice Address - Street 1:107 N RICE ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-1857
Practice Address - Country:US
Practice Address - Phone:254-386-3111
Practice Address - Fax:254-386-8844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy