The Apothecary Shop

LBN: Executive Healthcare
The Apothecary Shop is an health care organization with primary practice located at 6303 Forest Park Rd Ste A 255, Dallas TX 75235-5450. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Executive Healthcare can be contacted via phone (214) 357-8889, or through Narosov, Semyon via phone (214) 357-8889.

Contact Information

Primary practice address
6303 Forest Park Rd Ste A 255 Dallas TX 75235-5450
Phone: (214) 357-8889
Fax: (214) 357-8370
Website:
Map and Directions
Authorized official contact:
Name: Narosov, Semyon
Phone: (214) 357-8889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26627 Texas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598865800
LBN Legal business name Executive Healthcare
DBA Doing business as The Apothecary Shop
Authorized official Narosov, Semyon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 10th, 2015 - about 11 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 1598865800 NPPES
Other 2091865 PK

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