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:
Map and Directions
Authorized official contact:
Name: Novak, Don RPH
Phone: (903) 757-3477

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598709800 NPPES
Texas MEDICAID 140560 TX
Texas Other 2102597

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