NEUTRON LAB LLC NPI 1184039950

NPI Information

  • NPI: 1184039950
  • Provider Name: NEUTRON LAB LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: LAVON PHARMACY
  • Address: 440 STATE HIGHWAY 78 STE 230
    LAVON, TX
    ZIP 75166
  • Phone: (972) 843-7010

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NPI Details

NEUTRON LAB LLC is a pharmacy in Lavon, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NEUTRON LAB LLC NPI is 1184039950. The provider is registered as an organization entity type.
The provider Is Doing Business As Lavon Pharmacy.

The provider's business location address is:

440 STATE HIGHWAY 78 STE 230
LAVON, TX
ZIP 75166-266
Phone: (972) 843-7010
Fax: (972) 200-3017

The provider's authorized official is Mariamme Ferreiro .
The authorized official title is Managing Officer and has the following contact phone number (972) 843-7010.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 11/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy29073TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1149899MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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