At Home Pharmacy Grand Prairie Lp

LBN: At Home Pharmacy Grand Prairie Lp
At Home Pharmacy Grand Prairie Lp is an health care organization with primary practice located at 4927 Lake Ridge Pkwy Ste 180 , Grand Prairie TX 75052. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. At Home Pharmacy Grand Prairie Lp can be contacted via phone (214) 239-9106, or through Hasty, Gary via phone (214) 956-9770.

Contact Information

Primary practice address
4927 Lake Ridge Pkwy Ste 180 Grand Prairie TX 75052
Phone: (214) 239-9106
Fax: (214) 239-9107
Website:
Map and Directions
Authorized official contact:
Name: Hasty, Gary
Phone: (214) 956-9770

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 24380 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114963600
LBN Legal business name At Home Pharmacy Grand Prairie Lp
DBA Doing business as
Authorized official Hasty, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 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 1114963600 NPPES
Other 4539485 OTHER ID NUMBER-COMMERCIAL NUMBER

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