Fifty50 Pharmacy
LBN: Fifty 50 Medical Llc
Fifty50 Pharmacy is an health care organization with primary practice located at 1411 E Sandy Lake Rd Ste 120 , Coppell TX 75019-7947. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Fifty 50 Medical Llc can be contacted via phone (972) 243-2727, or through Wilson, Maxine via phone (972) 243-2727.
Contact Information
Primary practice address
1411 E Sandy Lake Rd Ste 120
Coppell TX 75019-7947
Phone: (972) 243-2727
Fax: (972) 243-3111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 26217 | Texas |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1376797704 |
|---|---|
| LBN Legal business name | Fifty 50 Medical Llc |
| DBA Doing business as | Fifty50 Pharmacy |
| Authorized official | Wilson, Maxine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2008 |
| Last updated | May 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376797704 | NPPES |
| Oklahoma | MEDICAID | 100792330A | |
| Oklahoma | MEDICAID | 201737803 | |
| Oklahoma | MEDICAID | 201737801 | |
| Oklahoma | Other | 2121078 | |
| Oklahoma | MEDICAID | 143875716 |
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