Bluegreen Industries Llc, NPI 1134452212
Long Term Care Pharmacy in Desoto, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134452212
NPI Entity Type Organization
Provider Name Bluegreen Industries Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1666 N Hampton Rd Ste 100b, Desoto, TX, US
Provider Mailing Address Po Box 765311, Dallas, TX, US, 753765311
Is Sole Proprietor? No
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Organization Official

Official Name Lynn Clark
Official Position PIC
Phone 972-572-1500

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 26621
License State TX
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

WHEATLAND PHARMACY
Doing Business As

Business Address

Bluegreen Industries Llc
1666 N Hampton Rd Ste 100b

Desoto, TX, US

Phone: 972-572-1500
Fax: 972-572-1505

Mailing Address

Bluegreen Industries Llc
Po Box 765311
Dallas, TX, US
ZIP 753765311
Phone: 972-572-1500
Fax: 972-572-1505

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0004X

Suppliers

Pharmacy

No

3336S0011X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
146063 TX MEDICAID 05
2121875 PK 01

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Jessica Hooson, Lcsw, P.l.l.c.

Organization

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