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Contact Information

BELLE PHARMACY, LLC
1100 JACKSON STREET, SUITE D
RICHMOND, TX77469
 Phone: 346-230-4125
 Fax: 832-202-2556
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BELLE PHARMACY, LLC

NPI Number 1245333699
LBN Legal business name BELLE PHARMACY, LLC
Authorized official KYLA MITTANCK - (PIC/AUTHORIZED SIGNATORY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 01/24/2018 - About 8 years ago
Identifiers
TX License # 29002
TX Medicaid 470982
Other 2144608 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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