Hebron Pharmacy

LBN: Hebron Pharmacy Llc
Hebron Pharmacy is an health care organization with primary practice located at 4100 Fairway Dr Ste 500 Suite #500, Carrollton TX 75010-6525. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hebron Pharmacy Llc can be contacted via phone (972) 394-7015, or through Bui, Phuong via phone (972) 394-7015.

Contact Information

Primary practice address
4100 Fairway Dr Ste 500 Suite #500 Carrollton TX 75010-6525
Fax: (972) 394-7016
Website:
Authorized official contact:
Name: Bui, Phuong

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 30841 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1164878898
LBN Legal business name Hebron Pharmacy Llc
DBA Doing business as Hebron Pharmacy
Authorized official Bui, Phuong
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated Jul 19th, 2018 - about 7 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 1164878898 NPPES
Texas MEDICAID 149217
Texas Other 2160061

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