Organization
LONG PRAIRIE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VRAJESH SHETH (OFFICER/PIC)
(972) 410-3773
Entity
Organization
Contact information
Practice address
4921 LONG PRAIRIE RD STE 105, FLOWER MOUND, TX 75028-2742
(972) 410-3773
(972) 410-3776
Mailing address
4921 LONG PRAIRIE RD STE 105, FLOWER MOUND, TX 75028-2742
(972) 410-3773
(972) 410-3776
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146586
—
TX
Enumeration date
07/26/2018
Last updated
07/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us