Organization
MEDICAL PLAZA PHARMACY
Active
Other names
the pharmacy of longview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON NOVAK RPH (RPH OWNER)
90375734377
Entity
Organization
Contact information
Practice address
707 E MARSHALL AVE STE 7, LONGVIEW, TX 75601-5575
(903) 757-3477
(903) 757-3134
Mailing address
707 E MARSHALL AVE STE 7, LONGVIEW, TX 75601-5575
(903) 757-3477
(903) 757-3134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140560
—
TX
01
—
4560745
NABP
TX
Enumeration date
10/23/2013
Last updated
10/23/2013
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