Life Specialty Pharmacy, Inc.

LBN: Life Specialty Pharmacy, Inc.
Life Specialty Pharmacy, Inc. is an health care organization with primary practice located at 949 W. Kearney St. Suite 107, Mesquite TX 75149. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Life Specialty Pharmacy, Inc. can be contacted via phone (972) 681-5959, or through Daniel, Shaji via phone (972) 681-5959.

Contact Information

Primary practice address
949 W. Kearney St. Suite 107 Mesquite TX 75149
Phone: (972) 681-5959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Shaji
Phone: (972) 681-5959

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720548118
LBN Legal business name Life Specialty Pharmacy, Inc.
DBA Doing business as
Authorized official Daniel, Shaji
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2019
Last updated Jan 24th, 2020 - about 6 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 1720548118 NPPES
Texas MEDICAID 150116

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