Qvl Pharmacy # 101

LBN: Ss Pharmacy Holdings Inc
Qvl Pharmacy # 101 is an health care organization with primary practice located at 3212 N 4Th St , Longview TX 75605-5143. 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. Ss Pharmacy Holdings Inc can be contacted via phone (903) 236-9676, or through Collins, Gary Chad via phone (214) 624-3050.

Contact Information

Primary practice address
3212 N 4Th St Longview TX 75605-5143
Phone: (903) 236-9676
Fax: (903) 236-9376
Website:
Map and Directions
Authorized official contact:
Name: Collins, Gary Chad
Phone: (214) 624-3050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 23908 Texas

Profile Details

NPI number 1609828854
LBN Legal business name Ss Pharmacy Holdings Inc
DBA Doing business as Qvl Pharmacy # 101
Authorized official Collins, Gary Chad
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 17th, 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 1609828854 NPPES
Other 2097544 PK
MEDICAID 145569 PK

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