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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801107123 | NPPES |
| Other | 2125635 | PK |
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