62 Roses Wellness, Llc

LBN: 62 Roses Wellness, Llc
62 Roses Wellness, Llc is an health care organization with primary practice located at 3320 Troup Hwy Ste 140 , Tyler TX 75701-8358. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 62 Roses Wellness, Llc can be contacted via phone (682) 207-1232, or through Baxter, Gary via phone (903) 530-5987.

Contact Information

Primary practice address
3320 Troup Hwy Ste 140 Tyler TX 75701-8358
Phone: (682) 207-1232
Fax: (817) 900-0649
Website:
Map and Directions
Authorized official contact:
Name: Baxter, Gary
Phone: (903) 530-5987

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1144845827
LBN Legal business name 62 Roses Wellness, Llc
DBA Doing business as
Authorized official Baxter, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2020
Last updated Jun 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144845827 NPPES
Texas Other 33114 TEXAS STATE BOARD OF PHARMACY

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