<Unavail>

LBN: Heritage Pharmacy Incorporated
<Unavail> is an health care organization with primary practice located at 621 N. Hampton Rd Ste. 108, Desoto TX 75115. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Heritage Pharmacy Incorporated can be contacted via phone (469) 747-3171, or through Moore, Naibon D. via phone (313) 819-7339.

Contact Information

Primary practice address
621 N. Hampton Rd Ste. 108 Desoto TX 75115
Phone: (469) 747-3171
Fax: (469) 747-3172
Website:
Map and Directions
Authorized official contact:
Name: Moore, Naibon D.
Phone: (313) 819-7339

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 23998 Texas

Profile Details

NPI number 1255445243
LBN Legal business name Heritage Pharmacy Incorporated
DBA Doing business as <Unavail>
Authorized official Moore, Naibon D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 24th, 2019 - 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 1255445243 NPPES
Texas MEDICAID 145508
Texas Other 2096860

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