Pleasant Grove Pharmacy
LBN: Pleasant Grove Pharmacy
Pleasant Grove Pharmacy is an health care organization with primary practice located at 3302 Richmond Rd , Texarkana TX 75503-0703. 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.
Pleasant Grove Pharmacy can be contacted via phone (903) 832-4545, or through Peeples, Marcia via phone (903) 832-4545.
Contact Information
Primary practice address
3302 Richmond Rd
Texarkana TX 75503-0703
Phone: (903) 832-4545
Fax: (903) 832-4546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 11056 | Texas |
Profile Details
NPI number | 1003903204 |
---|---|
LBN Legal business name | Pleasant Grove Pharmacy |
DBA Doing business as | Pleasant Grove Pharmacy |
Authorized official | Peeples, Marcia |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 7th, 2006 |
Last updated | Dec 26th, 2014 - about 10 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 | 1003903204 | NPPES |
Texas | MEDICAID | 142931 | |
Texas | Other | 2102791 |
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