Organization
FIRST LONE STAR PHARMACY GROUP LLC
Active
Other names
GLEN ROSE DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P LIPE PHARM.D. (MANAGING PARTNER)
(214) 521-9991
Entity
Organization
Contact information
Practice address
906 NE BIG BEND TRL, GLEN ROSE, TX 76043-4909
(254) 897-2711
(254) 897-3751
Mailing address
6901 PRESTON RD, DALLAS, TX 75205-1136
(214) 521-9991
(214) 521-1649
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146382
—
TX
01
—
4548876
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
09/12/2024
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