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THE PHARMACY OF LONGVIEW LLC NPI 1598709800


NPI Information

NPI: 1598709800
Provider Name: THE PHARMACY OF LONGVIEW LLC

Doing Business As: MEDICAL PLAZA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2154467

Address:
615 N 3RD ST STE 1
LONGVIEW, TX
ZIP 75601
Phone: (903) 757-3477
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THE PHARMACY OF LONGVIEW LLC is a community/retail pharmacy pharmacy in Longview, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THE PHARMACY OF LONGVIEW LLC NPI is 1598709800. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Plaza Pharmacy.

The provider's business location address is:

615 N 3RD ST STE 1
LONGVIEW, TX
ZIP 75601-550
Phone: (903) 757-3477
Fax: (903) 757-3134

The provider's authorized official is Don Novak .
The authorized official title is Owner and has the following contact phone number (903) 757-3477.

The CLIA number assigned to this NPI record is 45D2154467 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 9/30/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy2596TEXASYes

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
1140560 TXMEDICAIDTEXAS
22102597OTHERPK

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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