Amigos Pharmacy #524

LBN: United Supermarkets Llc
Amigos Pharmacy #524 is an health care organization with primary practice located at 3300 I 40 E , Amarillo TX 79103-4801. 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. United Supermarkets Llc can be contacted via phone (806) 373-8722, or through Purser, Tim via phone (806) 791-8113.

Contact Information

Primary practice address
3300 I 40 E Amarillo TX 79103-4801
Phone: (806) 373-8722
Fax: (806) 373-6918
Website:
Map and Directions
Authorized official contact:
Name: Purser, Tim RPH
Phone: (806) 791-8113

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21394 Texas

Profile Details

NPI number 1063499929
LBN Legal business name United Supermarkets Llc
DBA Doing business as Amigos Pharmacy #524
Authorized official Purser, Tim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063499929 NPPES
Texas MEDICAID 465184
Texas MEDICAID 067935901
Texas Other 2100429

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