Medical Center Pharmacy, Medical Center Pharmacy Vital Care
LBN: J & L Pharmacy, Inc
Medical Center Pharmacy, Medical Center Pharmacy Vital Care is an health care organization with primary practice located at 200 W 26Th St , Bryan TX 77803-3232. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Customized Equipment is the primary health care specialty.
J & L Pharmacy, Inc can be contacted via phone (979) 822-3575, or through Mutz, Randy via phone (979) 822-3575.
Contact Information
Primary practice address
200 W 26Th St
Bryan TX 77803-3232
Phone: (979) 822-3575
Fax: (979) 823-7278
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 12500 | Texas |
Suppliers / Customized Equipment | 332BC3200X | 12500 | Texas |
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 12500 | Texas |
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 12500 | Texas |
Suppliers / Pharmacy | 333600000X | 12500 | Texas |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 12500 | Texas |
Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 12500 | Texas |
Suppliers / Long Term Care Pharmacy | 3336L0003X | 12500 | Texas |
Suppliers / Mail Order Pharmacy | 3336M0002X | 12500 | Texas |
Suppliers / Specialty Pharmacy | 3336S0011X | 12500 | Texas |
Profile Details
NPI number | 1427073790 |
---|---|
LBN Legal business name | J & L Pharmacy, Inc |
DBA Doing business as | Medical Center Pharmacy, Medical Center Pharmacy Vital Care |
Authorized official | Mutz, Randy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 13th, 2006 |
Last updated | Nov 13th, 2008 - about 16 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 | 1427073790 | NPPES |
Texas | MEDICAID | 013833101 | |
Texas | Other | 750655 | |
Texas | MEDICAID | 1209983-04 | |
Texas | Other | 519933 | |
Texas | Other | 104686100 | |
Texas | Other | 722475922-0001 | |
Texas | MEDICAID | 1209983-02 |
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