Medicine Man Pharmacy-Port Lavaca
LBN: Epoch Pharmacy Solutions Ii Llc
Medicine Man Pharmacy-Port Lavaca is an health care organization with primary practice located at 1202 N Virginia St , Port Lavaca TX 77979-2507. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Epoch Pharmacy Solutions Ii Llc can be contacted via phone (361) 482-0345, or through Rogers, Bruce via phone (361) 894-6430.
Contact Information
Primary practice address
1202 N Virginia St
Port Lavaca TX 77979-2507
Phone: (361) 482-0345
Fax: (361) 482-0348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 27709 | Texas |
Profile Details
| NPI number | 1154607331 |
|---|---|
| LBN Legal business name | Epoch Pharmacy Solutions Ii Llc |
| DBA Doing business as | Medicine Man Pharmacy-Port Lavaca |
| Authorized official | Rogers, Bruce |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Feb 16th, 2016 - about 8 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 | 1154607331 | NPPES |
| Texas | MEDICAID | 146465 | |
| Texas | Other | 2132537 |
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