Boardwalk Pharmacy

LBN: Healthcare Associates Of Irving
Boardwalk Pharmacy is an health care organization with primary practice located at 6161 N State Highway 161 , Irving TX 75038-2220. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Healthcare Associates Of Irving can be contacted via phone (972) 812-7559, or through Deems, David via phone (972) 258-7499.

Contact Information

Primary practice address
6161 N State Highway 161 Irving TX 75038-2220
Phone: (972) 812-7559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deems, David Doctor of Medicine (MD)
Phone: (972) 258-7499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 25599 Texas

Profile Details

NPI number 1073712329
LBN Legal business name Healthcare Associates Of Irving
DBA Doing business as Boardwalk Pharmacy
Authorized official Deems, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2007
Last updated Nov 25th, 2019 - 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 1073712329 NPPES
Other 4545298 NCPDP

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