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SHALLOWATER PHARMACY
NPI 1396947024
Pharmacy - Community/Retail Pharmacy in Shallowater, TX

Active since June 04, 2007
1502 12TH ST STE B, SHALLOWATER, TX 79363(806) 832-0250(806) 832-0251 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shallowater Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALLOWATER PHARMACY (NPI 1396947024) is a healthcare organization registered as a community/retail pharmacy in Shallowater, Texas and active in the NPI registry since June 2007. The organization lists Micah Glenn Pratt, Owner, as its authorized official.

NPPES Registry Identity

NPI1396947024
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHALLOWATER PHARMACY, LLC
Location Address1502 12TH ST STE BShallowater, TX 79363-5651
Mailing AddressPo Box 1129Shallowater, TX 79363-1129 · (806) 832-0250 · Fax (806) 832-0251
Phone(806) 832-0250
Fax(806) 832-0251
Organization SubpartNo
Authorized OfficialMicah Glenn PrattOwner · (806) 385-4491
Enumeration DateJune 4, 2007
Last NPPES UpdateMarch 7, 2013
✔ NPI 1396947024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28431
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1502 12TH ST STE B, Shallowater, TX 79363
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Other Names 1

Doing Business AsShallowater Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shallowater Pharmacy, LLC's NPI number?

The NPI number for Shallowater Pharmacy, LLC is 1396947024. It was assigned to this organization in the NPPES registry on June 4, 2007. The provider is doing business as Shallowater Pharmacy.

Where is Shallowater Pharmacy, LLC located?

Shallowater Pharmacy, LLC is located at 1502 12th St Ste B, Shallowater, TX 79363. The listed phone number is (806) 832-0250.

What is Shallowater Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shallowater Pharmacy, LLC was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.