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Contact Information

LAND PHARMACY LLC
501 W 2ND STREET
CLARENDON, TX79226
 Phone: 806-874-3554
 Fax: 806-874-9287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LAND PHARMACY LLC

NPI # 1184051500
LBN Legal business name LAND PHARMACY LLC
Authorized official MARK LAND - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2013
Last updated 06/13/2016 - About 10 years ago
Identifiers
TX License # 28795
TX Medicaid 1184051500
Other 2142678 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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