Wheatland Pharmacy
LBN: Bluegreen Industries Llc
Wheatland Pharmacy is an health care organization with primary practice located at 1666 N Hampton Rd Ste 100B , Desoto TX 75115-8627. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Bluegreen Industries Llc can be contacted via phone (972) 572-1500, or through Clark, Lynn via phone (972) 572-1500.
Contact Information
Primary practice address
1666 N Hampton Rd Ste 100B
Desoto TX 75115-8627
Phone: (972) 572-1500
Fax: (972) 572-1505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 26621 | Texas |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1134452212 |
|---|---|
| LBN Legal business name | Bluegreen Industries Llc |
| DBA Doing business as | Wheatland Pharmacy |
| Authorized official | Clark, Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Jul 26th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134452212 | NPPES |
| Texas | MEDICAID | 146063 | |
| Texas | Other | 2121875 |
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