Ascension Providence Plaza Outpatient Pharmacy
LBN: Ascension Providence
Ascension Providence Plaza Outpatient Pharmacy is an health care organization with primary practice located at 405 Londonderry Dr Ste 104 , Waco TX 76712-7920. 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.
Ascension Providence can be contacted via phone (254) 751-4915, or through Holly, Julie L via phone (512) 324-3269.
Contact Information
Primary practice address
405 Londonderry Dr Ste 104
Waco TX 76712-7920
Phone: (254) 751-4915
Fax: (254) 751-4916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 14491 | Texas |
Profile Details
| NPI number | 1386784304 |
|---|---|
| LBN Legal business name | Ascension Providence |
| DBA Doing business as | Ascension Providence Plaza Outpatient Pharmacy |
| Authorized official | Holly, Julie L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jun 3rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386784304 | NPPES |
| Texas | MEDICAID | 370017 | |
| Texas | Other | 2099862 |
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