Long Prairie Pharmacy Llc

LBN: Long Prairie Pharmacy Llc
Long Prairie Pharmacy Llc is an health care organization with primary practice located at 4921 Long Prairie Rd Ste 105 , Flower Mound TX 75028-2742. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Long Prairie Pharmacy Llc can be contacted via phone (972) 410-3773, or through Sheth, Vrajesh via phone (972) 410-3773.

Contact Information

Primary practice address
4921 Long Prairie Rd Ste 105 Flower Mound TX 75028-2742
Phone: (972) 410-3773
Fax: (972) 410-3776
Website:
Map and Directions
Authorized official contact:
Name: Sheth, Vrajesh
Phone: (972) 410-3773

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1619454204
LBN Legal business name Long Prairie Pharmacy Llc
DBA Doing business as
Authorized official Sheth, Vrajesh
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 8 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 1619454204 NPPES
Texas MEDICAID 146586

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