Mira Vista Apothecary

LBN: Mira Vista Pharmacy Pllc
Mira Vista Apothecary is an health care organization with primary practice located at 7033 Bryant Irvin Rd , Fort Worth TX 76132-4243. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mira Vista Pharmacy Pllc can be contacted via phone (817) 292-3800, or through Sagoo, Moni via phone (817) 292-3800.

Contact Information

Primary practice address
7033 Bryant Irvin Rd Fort Worth TX 76132-4243
Phone: (817) 292-3800
Fax: (817) 292-3810
Website:
Map and Directions
Authorized official contact:
Name: Sagoo, Moni
Phone: (817) 292-3800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26982 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1801107123
LBN Legal business name Mira Vista Pharmacy Pllc
DBA Doing business as Mira Vista Apothecary
Authorized official Sagoo, Moni
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2010
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801107123 NPPES
Other 2125635 PK

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