Provider Demographics
NPI:1598946071
Name:PHARMACY OPERATIONS INC
Entity Type:Organization
Organization Name:PHARMACY OPERATIONS INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP GENERAL MANG
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-325-1397
Mailing Address - Street 1:501 E PRINCETON DR
Mailing Address - Street 2:STE 100
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 E PRINCETON DR
Practice Address - Street 2:STE 100
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407
Practice Address - Country:US
Practice Address - Phone:972-734-6281
Practice Address - Fax:972-736-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
TX259163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX466481Medicaid
TX196686301Medicaid
TX196686302Medicaid
4546478OtherOTHER ID NUMBER
4546478OtherOTHER ID NUMBER
TX466481Medicaid