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
Fax: (979) 823-7278
Website:
Authorized official contact:
Name: Mutz, Randy

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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