Mike'S Pharmacy

LBN: Land Pharmacy Llc
Mike'S Pharmacy is an health care organization with primary practice located at 501 W 2Nd Street , Clarendon TX 79226. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Land Pharmacy Llc can be contacted via phone (806) 874-3554, or through Land, Mark via phone (806) 537-3034.

Contact Information

Primary practice address
501 W 2Nd Street Clarendon TX 79226
Phone: (806) 874-3554
Fax: (806) 874-9287
Website:
Map and Directions
Authorized official contact:
Name: Land, Mark
Phone: (806) 537-3034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28795 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1184051500
LBN Legal business name Land Pharmacy Llc
DBA Doing business as Mike'S Pharmacy
Authorized official Land, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2013
Last updated Jun 13th, 2016 - about 8 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 1184051500 NPPES
Other 2142678 PK
MEDICAID 1184051500 PK

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