<Unavail>

LBN: Bluebonnet Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1919 North Loop W Suite 280, Houston TX 77008-1374. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bluebonnet Pharmacy Inc can be contacted via phone (713) 864-0100, or through Elgendy, Suzanne via phone (713) 864-0100.

Contact Information

Primary practice address
1919 North Loop W Suite 280 Houston TX 77008-1374
Fax: (713) 864-0246
Website:
Authorized official contact:
Name: Elgendy, Suzanne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 26367 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639318975
LBN Legal business name Bluebonnet Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Elgendy, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2009
Last updated Feb 15th, 2017 - about 9 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 1639318975 NPPES
Other 2118898 PK
MEDICAID 145996 PK

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