Healthcare Provider Details

I. General information

NPI: 1992737241
Provider Name (Legal Business Name): PHARMACY PLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N PARIS ST
MEXIA TX
76667-2842
US

IV. Provider business mailing address

2901 CORPORATE CIR STE 100
FLOWER MOUND TX
75028-5625
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-3375
  • Fax: 254-562-5510
Mailing address:
  • Phone: 254-739-2526
  • Fax: 254-739-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number12925
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12925
License Number StateTX

VIII. Authorized Official

Name: MR. THOMAS MANNING NEALE SR.
Title or Position: PRESIDENT
Credential: RPH
Phone: 469-635-2849