Healthcare Provider Details

I. General information

NPI: 1265832471
Provider Name (Legal Business Name): MGLS PROPERTIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 S STATE HWY. 69
WHITEWRIGHT TX
75491-2425
US

IV. Provider business mailing address

PO BOX 987
WHITEWRIGHT TX
75491-0987
US

V. Phone/Fax

Practice location:
  • Phone: 903-364-5537
  • Fax: 903-364-5774
Mailing address:
  • Phone: 903-364-5537
  • Fax: 903-364-5774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number29382
License Number StateTX

VIII. Authorized Official

Name: MRS. ALYDIA SCHATZ SAENZ
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 903-364-5537