Randol Mill Pharmacy
LBN: Kvg Enterprises Inc
Randol Mill Pharmacy is an health care organization with primary practice located at 1014 N Fielder Rd , Arlington TX 76012-3149. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kvg Enterprises Inc can be contacted via phone (817) 274-1883, or through Daley, Gary via phone (817) 274-1883.
Contact Information
Primary practice address
1014 N Fielder Rd
Arlington TX 76012-3149
Phone: (817) 274-1883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 14456 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1902900970 |
|---|---|
| LBN Legal business name | Kvg Enterprises Inc |
| DBA Doing business as | Randol Mill Pharmacy |
| Authorized official | Daley, Gary RPH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Aug 17th, 2023 - about 3 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 | 1902900970 | NPPES |
| Texas | MEDICAID | 013926301 | |
| Texas | Other | 2099328 | |
| Texas | MEDICAID | 091453301 | |
| Texas | MEDICAID | 078896001 |
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