Providerx Of Midland

LBN: Providerx Of Midland Llc
Providerx Of Midland is an health care organization with primary practice located at 2208 N Loop 250 W Ste 101, Midland TX 79707-6011. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Providerx Of Midland Llc can be contacted via phone (432) 689-3355, or through Allard, Terry via phone (817) 797-4181.

Contact Information

Primary practice address
2208 N Loop 250 W Ste 101 Midland TX 79707-6011
Phone: (432) 689-3355
Fax: (432) 699-6071
Website:
Map and Directions
Authorized official contact:
Name: Allard, Terry
Phone: (817) 797-4181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 26842 Texas

Profile Details

NPI number 1093870719
LBN Legal business name Providerx Of Midland Llc
DBA Doing business as Providerx Of Midland
Authorized official Allard, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 2nd, 2010 - about 14 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 1093870719 NPPES
Other 4534358 NCPDP PROVIDER IDENTIFICATION NUMBER

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