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
Fax: (903) 832-4546
Website:
Authorized official contact:
Name: Peeples, Marcia

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003903204 NPPES
Texas MEDICAID 142931
Texas Other 2102791

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