Medical Park Pharmacy
LBN: Kcn Novak Llc
Medical Park Pharmacy is an health care organization with primary practice located at 709 Hollybrook Dr Ste 101, Longview TX 75605-2411. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kcn Novak Llc can be contacted via phone (903) 234-8326, or through Novak, Don via phone (903) 234-8326.
Contact Information
Primary practice address
709 Hollybrook Dr Ste 101
Longview TX 75605-2411
Phone: (903) 234-8326
Fax: (903) 758-3808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 15960 | Texas |
Profile Details
| NPI number | 1497869481 |
|---|---|
| LBN Legal business name | Kcn Novak Llc |
| DBA Doing business as | Medical Park Pharmacy |
| Authorized official | Novak, Don RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1497869481 | NPPES |
| Texas | MEDICAID | 144123 | |
| Texas | Other | 2104156 |
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