<Unavail>

LBN: Bluegreen Industries Llc
<Unavail> is an health care organization with primary practice located at 1666 N Hampton Rd Ste 100B , Desoto TX 75115-8627. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Bluegreen Industries Llc can be contacted via phone (972) 572-1500, or through Clark, Lynn via phone (972) 572-1500.

Contact Information

Primary practice address
1666 N Hampton Rd Ste 100B Desoto TX 75115-8627
Phone: (972) 572-1500
Fax: (972) 572-1505
Website:
Map and Directions
Authorized official contact:
Name: Clark, Lynn
Phone: (972) 572-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 26621 Texas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1134452212
LBN Legal business name Bluegreen Industries Llc
DBA Doing business as <Unavail>
Authorized official Clark, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2009
Last updated Jul 26th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134452212 NPPES
Texas MEDICAID 146063
Texas Other 2121875

Popular Providers