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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