<Unavail>

LBN: Cc Pharmacy 3 Llc
<Unavail> is an health care organization with primary practice located at 3000 Joe Dimaggio Blvd Ste 57 , Round Rock TX 78665-3996. 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. Cc Pharmacy 3 Llc can be contacted via phone (737) 202-4101, or through Deforge, Warren via phone (737) 202-4101.

Contact Information

Primary practice address
3000 Joe Dimaggio Blvd Ste 57 Round Rock TX 78665-3996
Phone: (737) 202-4101
Fax: (737) 202-4104
Website:
Map and Directions
Authorized official contact:
Name: Deforge, Warren
Phone: (737) 202-4101

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31312 Texas

Profile Details

NPI number 1639669005
LBN Legal business name Cc Pharmacy 3 Llc
DBA Doing business as <Unavail>
Authorized official Deforge, Warren
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2018
Last updated Jul 19th, 2018 - about 8 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 1639669005 NPPES
Other 2177684 PK

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