Lake Ridge Pharmacy is an authorized DME supplier for medicare equipments and products.
Lake Ridge Pharmacy is a Community/Retail Pharmacy in Grand Prairie, Texas. This pharmacy is owned and operated by Premier One Pharma Inc.. It is located at 4927 Lake Ridge Pkwy Ste #180, Grand Prairie and it's customer support contact number is 972-522-7606. The authorized person of Lake Ridge Pharmacy is Dung Nguyen who is Pharmacy Manager of the pharmacy and his contact number is 972-522-7606. Active license number of Lake Ridge Pharmacy is 28607 for Community/Retail Pharmacy in Texas. Lake Ridge Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Lake Ridge Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Lake Ridge Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Lake Ridge Pharmacy
Type:
Community/Retail Pharmacy
Location:
4927 Lake Ridge Pkwy Ste #180, Grand Prairie, Texas, 75052
Phone:
972-522-7606
Fax:
972-522-7607
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dung Nguyen
Position:
Pharmacy Manager
Contact Number:
972-522-7606
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1407290356
NPI Enumeration Date:
22 Apr, 2013
NPI Last Update On:
03 Nov, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Ridge Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
28607
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2140442
Other
Pk
146826
Medicaid
Texas
Medicare Enrollment:
Lake Ridge Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6103143508
O20150324001030
Jncn Holdings Llc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4927 Lake Ridge Pkwy Ste #180, Grand Prairie, Texas
Zip:
75052
Phone Number:
972-522-7606
Fax Number:
972-522-7607
Patients can reach Lake Ridge Pharmacy at 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, Texas or can call on customer care at 972-522-7606.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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