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Mp Southpark Pharmacy Llc
Long Term Care Pharmacy in San Angelo, Texas
NPI 1427081447

Mp Southpark Pharmacy Llc is a Long Term Care Pharmacy based in San Angelo, TX and is specialized in Long Term Care Pharmacy. Mp Southpark Pharmacy Llc practices in San Angelo, TX. The NPI Number for Mp Southpark Pharmacy Llc is 1427081447 and holds a License No. (Texas).

The current practice location address for Mp Southpark Pharmacy Llc is 29 S Chadb0Urne, San Angelo, TX and can be reached out via phone at 325-655-3146 and via fax at 325-658-5891.

Location: 29 S Chadb0Urne, San Angelo, TX, 76903-5891
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427081447
Provider Name
Mp Southpark Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
29 S Chadb0Urne, San Angelo, TX, 76903-5891
Phone Number
325-655-3146
Fax Number
325-658-5891
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31522 01 TX PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
29 S Chadb0Urne
City
San Angelo
State
Texas
Zip
76903-5891
Phone Number
325-655-3146
Fax Number
325-658-5891
person
Provider Business Mailing Address Details
Address
29 S Chadb0Urne
City
San Angelo
State
Texas
Zip
76903-5891
Phone Number
325-655-3146
Fax Number
325-658-5891
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
31522 (Texas)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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