Super Mercado Pharmacy

LBN: Mpp Pharmacy Inc.
Super Mercado Pharmacy is an health care organization with primary practice located at 2208 N Big Spring St , Midland TX 79705. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mpp Pharmacy Inc. can be contacted via phone (432) 682-9501, or through Patel, Dhairant via phone (432) 682-9501.

Contact Information

Primary practice address
2208 N Big Spring St Midland TX 79705
Phone: (432) 682-9501
Fax: (432) 682-9497
Website:
Map and Directions
Authorized official contact:
Name: Patel, Dhairant
Phone: (432) 682-9501

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 25536 Texas

Profile Details

NPI number 1609887298
LBN Legal business name Mpp Pharmacy Inc.
DBA Doing business as Super Mercado Pharmacy
Authorized official Patel, Dhairant
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 8th, 2024 - about 6 months 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 1609887298 NPPES
Texas MEDICAID 145797
Texas Other 2097313

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