Haeckerville Pharmacy

LBN: Haeckerville Pharmacy Llc
Haeckerville Pharmacy is an health care organization with primary practice located at 16800 Greenspoint Park Dr Ste 160S , Houston TX 77060-2311. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Haeckerville Pharmacy Llc can be contacted via phone (281) 915-0793, or through Haecker, Waylon via phone (281) 915-0793.

Contact Information

Primary practice address
16800 Greenspoint Park Dr Ste 160S Houston TX 77060-2311
Phone: (281) 915-0793
Fax: (281) 915-0793
Website:
Map and Directions
Authorized official contact:
Name: Haecker, Waylon RPH
Phone: (281) 915-0793

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31288 Texas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1215476395
LBN Legal business name Haeckerville Pharmacy Llc
DBA Doing business as Haeckerville Pharmacy
Authorized official Haecker, Waylon RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2017
Last updated May 7th, 2024 - about 2 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 1215476395 NPPES
Other 2168580 PK
MEDICAID 149605 PK

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