Medical Plaza Pharmacy

LBN: Laredo Medical Plaza Pharmacy Inc
Medical Plaza Pharmacy is an health care organization with primary practice located at 1143 S Buckner Blvd Ste 121 , Dallas TX 75217-4304. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Laredo Medical Plaza Pharmacy Inc can be contacted via phone (214) 914-8601, or through Olumba, Gerald M via phone (832) 865-2051.

Contact Information

Primary practice address
1143 S Buckner Blvd Ste 121 Dallas TX 75217-4304
Phone: (214) 914-8601
Fax: (214) 915-8556
Website:
Map and Directions
Authorized official contact:
Name: Olumba, Gerald M PHARMD
Phone: (832) 865-2051

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31133 Texas

Profile Details

NPI number 1518215276
LBN Legal business name Laredo Medical Plaza Pharmacy Inc
DBA Doing business as Medical Plaza Pharmacy
Authorized official Olumba, Gerald M PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 28th, 2012
Last updated Jun 12th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518215276 NPPES
Other 2166433 PK
MEDICAID 146701 PK

Popular Providers