Healthcare Provider Details

I. General information

NPI: 1619230976
Provider Name (Legal Business Name): PARTNERS PHARMACY OF TEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 CRIST RD SUITE 1400
GARLAND TX
75040-3715
US

IV. Provider business mailing address

50 LAWRENCE RD
SPRINGFIELD NJ
07081-3121
US

V. Phone/Fax

Practice location:
  • Phone: 908-931-9111
  • Fax: 908-931-9328
Mailing address:
  • Phone: 908-931-9111
  • Fax: 908-931-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number30137
License Number StateTX

VIII. Authorized Official

Name: MR. MICHAEL TOOHEY
Title or Position: VP OF FINANCE/CONTROLLER
Credential:
Phone: 908-931-9111