Organization
THE PHARMACY OF LONGVIEW LLC
Active
Organization
THE PHARMACY OF LONGVIEW LLC
Active
Other names
MEDICAL PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DON NOVAK RPH (OWNER)
(903) 757-3477
Entity
Organization
Contact information
Practice address
615 N 3RD ST STE 1, LONGVIEW, TX 75601-6550
(903) 757-3477
(903) 757-3134
Mailing address
615 N 3RD ST STE 1, LONGVIEW, TX 75601-6550
(903) 757-3477
(903) 757-3134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140560 TX
—
TX
01
—
2102597
PK
—
Enumeration date
06/16/2006
Last updated
06/17/2024
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