Pecan Discount Drug

LBN: Pecan Prescription Shop
Pecan Discount Drug is an health care organization with primary practice located at 9203 Plantation Dr Ste 1 , Granbury TX 76049-4222. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pecan Prescription Shop can be contacted via phone (817) 573-9344, or through Lipe, Jonathan P via phone (214) 478-8040.

Contact Information

Primary practice address
9203 Plantation Dr Ste 1 Granbury TX 76049-4222
Phone: (817) 573-9344
Fax: (817) 573-0953
Website:
Map and Directions
Authorized official contact:
Name: Lipe, Jonathan P RPH
Phone: (214) 478-8040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 24387 Texas

Profile Details

NPI number 1285655241
LBN Legal business name Pecan Prescription Shop
DBA Doing business as Pecan Discount Drug
Authorized official Lipe, Jonathan P RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2024 - about last year

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 1285655241 NPPES
Texas MEDICAID 145664
Texas Other 2098866

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