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Bluegreen Industries LLC

Long Term Care Pharmacy in Desoto, TX · enumerated 2009 · authorized official Lynn Clark, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134452212

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Bluegreen Industries LLC
Other name <Unavail>
Practice address 1666 N Hampton Rd Ste 100b, Desoto, TX, 75115
Fax (972) 572-1505
Enumeration date Sep 8, 2009
Last updated in NPPES Jul 26, 2013

Taxonomy & classification

3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 26621 (TX) Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Lynn Clark
Title Pic

Other identifiers

Identifier Type State Issuer
146063 Medicaid TX -
2121875 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Bluegreen Industries LLC located?
The practice location on file with NPPES is in Desoto, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-26.