Provider Demographics
NPI:1861771156
Name:PARTON PHARMACY, LLC
Entity type:Organization
Organization Name:PARTON PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PARTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:903-342-3669
Mailing Address - Street 1:211 E COKE RD
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-3213
Mailing Address - Country:US
Mailing Address - Phone:903-342-3669
Mailing Address - Fax:903-342-6120
Practice Address - Street 1:211 E COKE RD
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-3213
Practice Address - Country:US
Practice Address - Phone:903-342-3669
Practice Address - Fax:903-342-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX16258333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1204030Medicaid
TXPH0346OtherMEDICARE
TX144190Medicaid
TX0960570001Medicare NSC