Organization
BLDL INDUSTRIES
Active
Parent organization
BLDL INDUSTRIES LLC
Other names
Laura's Pharmacy, Laura's LTC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLDL INDUSTRIES LLC
Authorized official
LAURA BETH TEMPLE RPH (OFFICER, PIC)
(817) 406-4546
Entity
Organization
Contact information
Practice address
232 W MAIN ST, AZLE, TX 76020-3120
(817) 406-4546
(817) 406-4550
Mailing address
232 W MAIN ST, AZLE, TX 76020-3120
(817) 406-4546
(817) 406-4550
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146776
—
TX
Enumeration date
12/11/2018
Last updated
11/15/2023
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