<Unavail>

LBN: Qvl Pharmacy 147 Llc
<Unavail> is an health care organization with primary practice located at 3751 Matlock Rd Ste 121 , Arlington TX 76015-4342. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Qvl Pharmacy 147 Llc can be contacted via phone (682) 300-2303, or through Collins, Gary Chad via phone (214) 624-3050.

Contact Information

Primary practice address
3751 Matlock Rd Ste 121 Arlington TX 76015-4342
Phone: (682) 300-2303
Fax: (682) 300-2304
Website:
Map and Directions
Authorized official contact:
Name: Collins, Gary Chad
Phone: (214) 624-3050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28346 Texas

Profile Details

NPI number 1386989325
LBN Legal business name Qvl Pharmacy 147 Llc
DBA Doing business as <Unavail>
Authorized official Collins, Gary Chad
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2012
Last updated Jun 17th, 2014 - about 12 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 1386989325 NPPES
Other 2138018 PK
MEDICAID 466884 PK

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