Prescription Pharmacy

LBN: Larenda Inc
Prescription Pharmacy is an health care organization with primary practice located at 156 W 5Th St , Rusk TX 75785-1218. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Larenda Inc can be contacted via phone (903) 683-5436, or through Mozingo, Larry Madison via phone (903) 683-5436.

Contact Information

Primary practice address
156 W 5Th St Rusk TX 75785-1218
Phone: (903) 683-5436
Fax: (903) 683-2689
Website:
Map and Directions
Authorized official contact:
Name: Mozingo, Larry Madison RPH
Phone: (903) 683-5436

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 14417 Texas

Profile Details

NPI number 1447320734
LBN Legal business name Larenda Inc
DBA Doing business as Prescription Pharmacy
Authorized official Mozingo, Larry Madison RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jun 1st, 2009 - about 17 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 1447320734 NPPES
Texas MEDICAID 143691

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