Medi-drive Pharmacy Llc
Pharmacy
507 23rd St, Canyon
Texas, 79015-4043
806-655-1024 806-655-9762
Medi-drive Pharmacy Llc is a Pharmacy in Canyon, Texas. It is located at 507 23rd St, Canyon and it's customer support contact number is 806-655-1024. The authorized person of Medi-drive Pharmacy Llc is Angela Klaire Bazaldua, PHARM.D. who is Pic of the pharmacy and his contact number is 806-655-1024. Active license number of Medi-drive Pharmacy Llc is 31118 for Pharmacy in Texas. Medi-drive Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Medi-drive Pharmacy Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Medi-drive Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Medi-drive Pharmacy Llc |
| Type: | Pharmacy |
| Location: | 507 23rd St, Canyon,
Texas, 79015-4043 |
| Phone: | 806-655-1024 |
| Fax: | 806-655-9762 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Angela Klaire Bazaldua |
| Credentials: | PHARM.D. |
| Position: | Pic |
| Contact Number: | 806-655-1024 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1962687251 |
| NPI Enumeration Date: | 04 Jan, 2008 |
| NPI Last Update On: | 31 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medi-drive Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 31118 | Texas | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2162163 | Other | | Pk |
Medicare Enrollment:
Medi-drive Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5698052934 | O20170525000181 | Medi-drive Pharmacy Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 507 23rd St,
Canyon, Texas |
| Zip: | 79015-4043 |
| Phone Number: | 806-655-1024 |
| Fax Number: | 806-655-9762 |
Patients can reach Medi-drive Pharmacy Llc at
507 23rd St, Canyon, Texas or can
call on customer care at 806-655-1024.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.