National Provider Identifier Database

HERITAGE PHARMACY INCORPORATED
Community/Retail Pharmacy

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.


Contact Information

HERITAGE PHARMACY INCORPORATED
621 N. HAMPTON RD
STE. 108
DESOTO, TX75115
Phone: 469-747-3171
Fax: 469-747-3172
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for HERITAGE PHARMACY INCORPORATED

NPI Number 1255445243
Legal business name
LBN
HERITAGE PHARMACY INCORPORATED
Authorized official NAIBON MOORE - (MANAGING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/18/2006
Last updated 04/24/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 23998
  • TX Medicaid: 145508
  • Other: 2096860 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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