Extendcare Pharmacy Services

LBN: First Lone Star Pharmacy Group Iv Llc
Extendcare Pharmacy Services is an health care organization with primary practice located at 1246 Hwy 3773 Ste 200, Pilot Point TX 76258. 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. First Lone Star Pharmacy Group Iv Llc can be contacted via phone (940) 686-2140, or through Elliot, Mark via phone (214) 521-9991.

Contact Information

Primary practice address
1246 Hwy 3773 Ste 200 Pilot Point TX 76258
Phone: (940) 686-2140
Fax: (940) 686-9286
Website:
Map and Directions
Authorized official contact:
Name: Elliot, Mark
Phone: (214) 521-9991

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 29469 Texas

Profile Details

NPI number 1326154113
LBN Legal business name First Lone Star Pharmacy Group Iv Llc
DBA Doing business as Extendcare Pharmacy Services
Authorized official Elliot, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 8th, 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 1326154113 NPPES
Other 2146343 PK

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