<Unavail>
LBN: Hebron Pharmacy Llc
<Unavail> 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
Phone: (972) 394-7015
Fax: (972) 394-7016
Website:
Health care specialties
| Specialty | Code | License # | 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 | <Unavail> |
| Authorized official | Bui, Phuong |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2016 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164878898 | NPPES |
| Texas | MEDICAID | 149217 | |
| Texas | Other | 2160061 |
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