Provider Demographics
NPI:1841225562
Name:PHARMACY PLUS INC
Entity Type:Organization
Organization Name:PHARMACY PLUS INC
Other - Org Name:PHARMACY PLUS #6
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MANNING
Authorized Official - Last Name:NEALE
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
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:972-539-3694
Practice Address - Street 1:1207 N LOOP 340
Practice Address - Street 2:
Practice Address - City:LACY LAKEVIEW
Practice Address - State:TX
Practice Address - Zip Code:76705-2470
Practice Address - Country:US
Practice Address - Phone:254-867-6700
Practice Address - Fax:254-867-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16873332B00000X, 3336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144381Medicaid
TX16873OtherNCPDP#
TX16873OtherNCPDP#