Medical Plaza Pharmacy
LBN: The Pharmacy Of Longview Llc
Medical Plaza Pharmacy is an health care organization with primary practice located at 615 N 3Rd St Ste 1 , Longview TX 75601-6550. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Pharmacy Of Longview Llc can be contacted via phone (903) 757-3477, or through Novak, Don via phone (903) 757-3477.
Contact Information
Primary practice address
615 N 3Rd St Ste 1
Longview TX 75601-6550
Phone: (903) 757-3477
Fax: (903) 757-3134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2596 | Texas |
Profile Details
| NPI number | 1598709800 |
|---|---|
| LBN Legal business name | The Pharmacy Of Longview Llc |
| DBA Doing business as | Medical Plaza Pharmacy |
| Authorized official | Novak, Don RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jun 17th, 2024 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598709800 | NPPES |
| Texas | MEDICAID | 140560 TX | |
| Texas | Other | 2102597 |
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