Kidz Medical Pharmacy

LBN: Kidz Medical Supply Llc
Kidz Medical Pharmacy is an health care organization with primary practice located at 700 S Zarzamora St Ste 302, San Antonio TX 78207-5255. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kidz Medical Supply Llc can be contacted via phone (210) 433-9400, or through Afalava, Suzanne via phone (210) 365-5135.

Contact Information

Primary practice address
700 S Zarzamora St Ste 302 San Antonio TX 78207-5255
Fax: (210) 433-9402
Website:
Authorized official contact:
Name: Afalava, Suzanne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26389 Texas
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X 26389 Texas

Profile Details

NPI number 1831312297
LBN Legal business name Kidz Medical Supply Llc
DBA Doing business as Kidz Medical Pharmacy
Authorized official Afalava, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Nov 15th, 2011 - about 13 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 1831312297 NPPES
Other 4552673 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 204861301 NCPDP PROVIDER IDENTIFICATION NUMBER

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