Fred'S Pharmacy

LBN: Canales Medical Services Llc
Fred'S Pharmacy is an health care organization with primary practice located at 2790 Pharmacy Rd Ste A, Rio Grande City TX 78582-6546. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Canales Medical Services Llc can be contacted via phone (956) 487-2711, or through Canales, Marlo via phone (956) 487-2711.

Contact Information

Primary practice address
2790 Pharmacy Rd Ste A Rio Grande City TX 78582-6546
Phone: (956) 487-2711
Fax: (956) 487-6399
Website:
Map and Directions
Authorized official contact:
Name: Canales, Marlo BS
Phone: (956) 487-2711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 29856 Texas

Profile Details

NPI number 1366833634
LBN Legal business name Canales Medical Services Llc
DBA Doing business as Fred'S Pharmacy
Authorized official Canales, Marlo BS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2015
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366833634 NPPES
Texas MEDICAID 148240
Texas Other 2151598

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