Bluegreen Industries Llc, NPI 1134452212
Long Term Care Pharmacy in Desoto, TX, US
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 |
Organization Official
| Official Name | Lynn Clark |
| Official Position | PIC |
| Phone | 972-572-1500 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 146063 | TX | MEDICAID | 05 |
| 2121875 | PK | 01 |
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