Tom Thumb Pharmacy #3589
LBN: Randalls Food & Drugs Lp
Tom Thumb Pharmacy #3589 is an health care organization with primary practice located at 4720 Bryant Irvin Rd , Ft Worth TX 76132-3604. The organization recently has 2 registered licenses in different health care specialties including 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) 294-9994, or through Rivers, Michelle Ann via phone (623) 869-3524.
Contact Information
Primary practice address
4720 Bryant Irvin Rd
Ft Worth TX 76132-3604
Phone: (817) 294-9994
Fax: (817) 370-6459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 22087 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1659300622 |
|---|---|
| LBN Legal business name | Randalls Food & Drugs Lp |
| DBA Doing business as | Tom Thumb Pharmacy #3589 |
| Authorized official | Rivers, Michelle Ann CPHT |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | May 26th, 2017 - about 7 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 | 1659300622 | NPPES |
| Other | 4573855 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 463763 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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