Provider Demographics
NPI:1164382701
Name:HEARNE PHARMACY LLC
Entity type:Organization
Organization Name:HEARNE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-205-7143
Mailing Address - Street 1:871 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HEARNE
Mailing Address - State:TX
Mailing Address - Zip Code:77859-4057
Mailing Address - Country:US
Mailing Address - Phone:979-205-7143
Mailing Address - Fax:979-205-7146
Practice Address - Street 1:871 N MARKET ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-4057
Practice Address - Country:US
Practice Address - Phone:979-205-7143
Practice Address - Fax:979-205-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy