Rainbow Pharmacy

LBN: Parkside Oasis Inc
Rainbow Pharmacy is an health care organization with primary practice located at 3750 S University Dr Suite 100, Fort Worth TX 76109-3720. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Parkside Oasis Inc can be contacted via phone (817) 546-3513, or through Salako, Michael via phone (817) 874-1733.

Contact Information

Primary practice address
3750 S University Dr Suite 100 Fort Worth TX 76109-3720
Fax: (817) 546-3516
Website:
Authorized official contact:
Name: Salako, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 25846 Texas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184809592
LBN Legal business name Parkside Oasis Inc
DBA Doing business as Rainbow Pharmacy
Authorized official Salako, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 29th, 2008 - about 16 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 1184809592 NPPES
Other 4546947 OTHER ID NUMBER

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