Glenwood Pharmacy

LBN: Glenwood Pharmacy
Glenwood Pharmacy is an health care organization with primary practice located at 1400 College Dr , Texarkana TX 75503-3534. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Glenwood Pharmacy can be contacted via phone (903) 792-8296, or through Lukas, Daniel via phone (903) 792-8296.

Contact Information

Primary practice address
1400 College Dr Texarkana TX 75503-3534
Phone: (903) 792-8296
Fax: (903) 792-2261
Website:
Map and Directions
Authorized official contact:
Name: Lukas, Daniel
Phone: (903) 792-8296

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 19507 Texas

Profile Details

NPI number 1689702334
LBN Legal business name Glenwood Pharmacy
DBA Doing business as
Authorized official Lukas, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 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 1689702334 NPPES
Texas MEDICAID 144971
Texas Other 4503199

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