Provider Demographics
NPI:1265832471
Name:MGLS PROPERTIES, LLC
Entity Type:Organization
Organization Name:MGLS PROPERTIES, LLC
Other - Org Name:WHITEWRIGHT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYDIA
Authorized Official - Middle Name:SCHATZ
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-364-5537
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:WHITEWRIGHT
Mailing Address - State:TX
Mailing Address - Zip Code:75491-0987
Mailing Address - Country:US
Mailing Address - Phone:903-364-5537
Mailing Address - Fax:903-364-5774
Practice Address - Street 1:419 S STATE HWY. 69
Practice Address - Street 2:
Practice Address - City:WHITEWRIGHT
Practice Address - State:TX
Practice Address - Zip Code:75491-2425
Practice Address - Country:US
Practice Address - Phone:903-364-5537
Practice Address - Fax:903-364-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147148Medicaid