Sage Pharmacy And Stores, Llc

LBN: Sage Pharmacy And Stores Llc
Sage Pharmacy And Stores, Llc is an health care organization with primary practice located at 2500 S Lakeline Blvd Ste 202 , Cedar Park TX 78613-2969. 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. Sage Pharmacy And Stores Llc can be contacted via phone (512) 628-1090, or through Patel, Survam via phone (512) 628-1090.

Contact Information

Primary practice address
2500 S Lakeline Blvd Ste 202 Cedar Park TX 78613-2969
Fax: (512) 628-1090
Website:
Authorized official contact:
Name: Patel, Survam

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 27581 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023300084
LBN Legal business name Sage Pharmacy And Stores Llc
DBA Doing business as Sage Pharmacy And Stores, Llc
Authorized official Patel, Survam
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated Oct 20th, 2023 - about 2 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 1023300084 NPPES
Texas MEDICAID 148225
Texas Other 2131770

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