Tom Thumb Pharmacy #3623
LBN: Randalls Food & Drugs Lp
Tom Thumb Pharmacy #3623 is an health care organization with primary practice located at 210 E Pleasant Run Rd , Desoto TX 75115-3938. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Randalls Food & Drugs Lp can be contacted via phone (972) 274-7008, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
210 E Pleasant Run Rd
Desoto TX 75115-3938
Phone: (972) 274-7008
Fax: (972) 274-7012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 22094 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1083650618 |
|---|---|
| LBN Legal business name | Randalls Food & Drugs Lp |
| DBA Doing business as | Tom Thumb Pharmacy #3623 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Oct 2nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083650618 | NPPES |
| Texas | MEDICAID | 463878 | |
| Texas | Other | 4596473 |
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