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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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