Trail Creek Pharmacy
LBN: Covenant Pharmacy Llc
Trail Creek Pharmacy is an health care organization with primary practice located at 2700 Tibbets Dr Ste 200, Bedford TX 76022-5928. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Covenant Pharmacy Llc can be contacted via phone (817) 684-9464, or through Zachariah, Rob via phone (817) 684-9464.
Contact Information
Primary practice address
2700 Tibbets Dr Ste 200
Bedford TX 76022-5928
Phone: (817) 684-9464
Fax: (817) 684-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28347 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1699950972 |
|---|---|
| LBN Legal business name | Covenant Pharmacy Llc |
| DBA Doing business as | Trail Creek Pharmacy |
| Authorized official | Zachariah, Rob |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2008 |
| Last updated | Jun 11th, 2015 - about 9 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 | 1699950972 | NPPES |
| Other | 2139586 | PK | |
| MEDICAID | 146739 | PK |
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