Provider Demographics
NPI:1649315276
Name:ZKBK INVESTMENTS LLC
Entity type:Organization
Organization Name:ZKBK INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-283-3073
Mailing Address - Street 1:1010 W BLUFF ST.
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-4736
Mailing Address - Country:US
Mailing Address - Phone:409-283-3073
Mailing Address - Fax:409-283-2159
Practice Address - Street 1:1010 W BLUFF ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-4736
Practice Address - Country:US
Practice Address - Phone:409-283-3073
Practice Address - Fax:409-283-2159
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZKBK INVESTMENTS. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX296503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147959OtherPK
TX147052Medicaid
TX143652Medicaid
TX4992720001Medicare NSC