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Contact Information

MESQUITE CARE PHARMACY INC.
1111 S IRVING HEIGHTS DR
SUITE # 120
IRVING, TX75060
 Phone: 972-285-1444
 Fax: 972-285-1414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MESQUITE CARE PHARMACY INC.

NPI # 1225553290
LBN Legal business name MESQUITE CARE PHARMACY INC.
Authorized official VARGHESE NELLIKUNNATHUTHARA VARKEY - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2017
Last updated 11/10/2020 - About 6 years ago
Identifiers
TX Medicaid 149667
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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