Rockwall Pharmacy

LBN: Rockwall Pharmacy Llc
Rockwall Pharmacy is an health care organization with primary practice located at 2504 Ridge Rd Suite 106, Rockwall TX 75087-2569. 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. Rockwall Pharmacy Llc can be contacted via phone (469) 769-1160, or through Jones, Tommy via phone (469) 769-1160.

Contact Information

Primary practice address
2504 Ridge Rd Suite 106 Rockwall TX 75087-2569
Phone: (469) 769-1160
Fax: (469) 769-1161
Website:
Map and Directions
Authorized official contact:
Name: Jones, Tommy
Phone: (469) 769-1160

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 30777 Texas

Profile Details

NPI number 1114371226
LBN Legal business name Rockwall Pharmacy Llc
DBA Doing business as Rockwall Pharmacy
Authorized official Jones, Tommy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2016
Last updated Jul 19th, 2018 - about 7 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 1114371226 NPPES
Other 2159682 PK
MEDICAID 149386 PK

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