Haltom Pharmacy

LBN: Haltom Pharmacy Llc
Haltom Pharmacy is an health care organization with primary practice located at 3602 Matlock Rd Ste 204 , Arlington TX 76015-3600. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Haltom Pharmacy Llc can be contacted via phone (817) 838-2500, or through Ngo, Thanh Quang via phone (817) 838-2500.

Contact Information

Primary practice address
3602 Matlock Rd Ste 204 Arlington TX 76015-3600
Phone: (817) 838-2500
Fax: (817) 838-2510
Website:
Map and Directions
Authorized official contact:
Name: Ngo, Thanh Quang
Phone: (817) 838-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 24360 Texas

Profile Details

NPI number 1477599868
LBN Legal business name Haltom Pharmacy Llc
DBA Doing business as Haltom Pharmacy
Authorized official Ngo, Thanh Quang
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 31st, 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 1477599868 NPPES
Other 2098722 PK
MEDICAID 145592 PK

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