Wylie Pharmacy

LBN: Wylie Pharmacy Llc
Wylie Pharmacy is an health care organization with primary practice located at 430 S Highway 78 Ste 160 , Wylie TX 75098-3974. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wylie Pharmacy Llc can be contacted via phone (972) 429-9594, or through Boppana, Srikrishna via phone (972) 429-9594.

Contact Information

Primary practice address
430 S Highway 78 Ste 160 Wylie TX 75098-3974
Phone: (972) 429-9594
Fax: (972) 429-9482
Website:
Map and Directions
Authorized official contact:
Name: Boppana, Srikrishna
Phone: (972) 429-9594

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28505 Texas

Profile Details

NPI number 1225479819
LBN Legal business name Wylie Pharmacy Llc
DBA Doing business as Wylie Pharmacy
Authorized official Boppana, Srikrishna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2013
Last updated Jan 14th, 2014 - about 11 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 1225479819 NPPES
Other 2141040 PK
MEDICAID 146807 PK

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