Powerhouse Pharmacy Rx Llc

LBN: Powerhouse Pharmacy Rx Llc
Powerhouse Pharmacy Rx Llc is an health care organization with primary practice located at 4740 W Mockingbird Ln Ste 100B , Dallas TX 75209-5208. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Powerhouse Pharmacy Rx Llc can be contacted via phone (214) 350-2900, or through Shahiwala, Kumudben via phone (614) 886-0786.

Contact Information

Primary practice address
4740 W Mockingbird Ln Ste 100B Dallas TX 75209-5208
Phone: (214) 350-2900
Fax: (214) 350-2904
Website:
Map and Directions
Authorized official contact:
Name: Shahiwala, Kumudben
Phone: (614) 886-0786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X Texas
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1982104378
LBN Legal business name Powerhouse Pharmacy Rx Llc
DBA Doing business as
Authorized official Shahiwala, Kumudben
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2018
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982104378 NPPES
Texas Other 31863 PROVIDER LICENSE NUMBER
Texas MEDICAID 149825 PROVIDER LICENSE NUMBER

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