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OMNICARE PHARMACY OF TEXAS 2 LP NPI 1396774071


NPI Information

NPI: 1396774071
Provider Name: OMNICARE PHARMACY OF TEXAS 2, LP

Doing Business As: OMNICARE OF TYLER #48359

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 45D2185421

Address:
105 JORDAN PLAZA BLVD
TYLER, TX
ZIP 75704
Phone: (903) 533-8122
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OMNICARE PHARMACY OF TEXAS 2, LP is a long term care pharmacy pharmacy in Tyler, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. OMNICARE PHARMACY OF TEXAS 2, LP NPI is 1396774071. The provider is registered as an organization entity type.
The provider Is Doing Business As Omnicare Of Tyler #48359.

The provider's business location address is:

105 JORDAN PLAZA BLVD
TYLER, TX
ZIP 75704-048
Phone: (903) 533-8122

The provider's authorized official is Susan Colbert .
The authorized official title is Sr Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 45D2185421 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/12/2019.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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: 5/5/2024

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