<Unavail>

LBN: Mp Southpark Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 29 S Chadb0Urne , San Angelo TX 76903-5891. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Mp Southpark Pharmacy Llc can be contacted via phone (325) 655-3146, or through Pratt, Micah via phone (806) 548-0590.

Contact Information

Primary practice address
29 S Chadb0Urne San Angelo TX 76903-5891
Phone: (325) 655-3146
Fax: (325) 658-5891
Website:
Map and Directions
Authorized official contact:
Name: Pratt, Micah PHARMD
Phone: (806) 548-0590

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31522 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1427081447
LBN Legal business name Mp Southpark Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Pratt, Micah PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 12th, 2025 - about last year

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 1427081447 NPPES
Texas Other 31522 PHARMACY LICENSE

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