Main Street Pharmacy

LBN: Clark Pharmacy Llc
Main Street Pharmacy is an health care organization with primary practice located at 701 N Main St Suite A, Donna TX 78537-2765. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clark Pharmacy Llc can be contacted via phone (956) 461-2400, or through Gingrich, Bruce via phone (281) 232-3940.

Contact Information

Primary practice address
701 N Main St Suite A Donna TX 78537-2765
Phone: (956) 461-2400
Fax: (956) 461-2412
Website:
Map and Directions
Authorized official contact:
Name: Gingrich, Bruce
Phone: (281) 232-3940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26899 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1851613210
LBN Legal business name Clark Pharmacy Llc
DBA Doing business as Main Street Pharmacy
Authorized official Gingrich, Bruce
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2010
Last updated Jul 8th, 2014 - about 10 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 1851613210 NPPES
Other 2144609 PK

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