Tom Thumb Pharmacy #2580
LBN: Randalls Food & Drugs Lp
Tom Thumb Pharmacy #2580 is an health care organization with primary practice located at 100 W Southlake Blvd Ste 200 , Southlake TX 76092-6166. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Randalls Food & Drugs Lp can be contacted via phone (817) 421-6530, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
100 W Southlake Blvd Ste 200
Southlake TX 76092-6166
Phone: (817) 421-6530
Fax: (817) 488-2476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 22139 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1609805662 |
|---|---|
| LBN Legal business name | Randalls Food & Drugs Lp |
| DBA Doing business as | Tom Thumb Pharmacy #2580 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jul 5th, 2024 - about last year |
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 | 1609805662 | NPPES |
| Texas | MEDICAID | 464669 | |
| Texas | Other | 4514279 |
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