Provider Demographics
NPI:1700859857
Name:PRESCRIPTION DISPENSING LABORATORIES, INC.
Entity Type:Organization
Organization Name:PRESCRIPTION DISPENSING LABORATORIES, INC.
Other - Org Name:PD LABS
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:800-687-9014
Mailing Address - Street 1:1513 E NEW HOPE DR BLDG E
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5760
Mailing Address - Country:US
Mailing Address - Phone:800-687-9014
Mailing Address - Fax:210-494-3010
Practice Address - Street 1:1513 E NEW HOPE DR BLDG E
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78641-5760
Practice Address - Country:US
Practice Address - Phone:800-687-9014
Practice Address - Fax:210-494-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19531333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4501133OtherNCPDP
TX34753OtherTEXAS STATE BOARD OF PHARMACY
4501133OtherNCPDP