Provider Demographics
NPI:1548064249
Name:KING'S PHARMACY OF LUMBERTON, LLC
Entity type:Organization
Organization Name:KING'S PHARMACY OF LUMBERTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-755-1145
Mailing Address - Street 1:139 N LHS DR UNIT 211
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8743
Mailing Address - Country:US
Mailing Address - Phone:409-755-1145
Mailing Address - Fax:
Practice Address - Street 1:139 N LHS DR UNIT 211
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8743
Practice Address - Country:US
Practice Address - Phone:409-755-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KING'S PHARMACY OF LUMBERTON, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy