Provider Demographics
NPI:1417680943
Name:PHARMACY PLUS INC
Entity Type:Organization
Organization Name:PHARMACY PLUS INC
Other - Org Name:PHARMACY PLUS 407
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEALE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:972-539-3624
Mailing Address - Street 1:3020 CORPORATE CT STE 300
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5617
Mailing Address - Country:US
Mailing Address - Phone:972-539-3624
Mailing Address - Fax:
Practice Address - Street 1:101 PLAZA PL STE 100
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76226-3485
Practice Address - Country:US
Practice Address - Phone:469-949-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACY PLUS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-01
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy