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Organization
LITTLEFIELD PRESCRIPTION SHOP LLC
Active
Organization
LITTLEFIELD PRESCRIPTION SHOP LLC
Active
Other names
Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH PRATT (OWNER)
(806) 385-4491
Entity
Organization
Contact information
Practice address
1506 S SUNSET AVE STE A, LITTLEFIELD, TX 79339-4813
(806) 385-4491
(806) 385-4567
Mailing address
1506 S SUNSET AVE STE A, LITTLEFIELD, TX 79339-4813
(806) 385-4491
(806) 385-4567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27958
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093801607
NPI
—
01
—
27958
PHARMACY BOARD
TX
01
—
6706410001
MEDICARE NSC
—
01
—
PH0906
MEDICARE NSC
—
Enumeration date
10/04/2006
Last updated
07/21/2022
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