Dougherty'S Ltc Pharmacy

LBN: Doughertys Ltc Pharmacy Llc
Dougherty'S Ltc Pharmacy is an health care organization with primary practice located at 5959 Royal Ln Ste 513 , Dallas TX 75230-3856. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Doughertys Ltc Pharmacy Llc can be contacted via phone (214) 373-5301, or through Komuves, Andrew via phone (972) 860-0229.

Contact Information

Primary practice address
5959 Royal Ln Ste 513 Dallas TX 75230-3856
Phone: (214) 373-5301
Fax: (214) 373-5333
Website:
Map and Directions
Authorized official contact:
Name: Komuves, Andrew
Phone: (972) 860-0229

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 31452 Texas

Profile Details

NPI number 1578093183
LBN Legal business name Doughertys Ltc Pharmacy Llc
DBA Doing business as Dougherty'S Ltc Pharmacy
Authorized official Komuves, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2017
Last updated Jul 19th, 2018 - about 6 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 1578093183 NPPES
Texas MEDICAID 351064
Texas Other 2169947

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