Market Street Pharmacy #560
LBN: United Supermarkets Llc
Market Street Pharmacy #560 is an health care organization with primary practice located at 5605 Colleyville Blvd , Colleyville TX 76034-6022. 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 (817) 577-5030, or through Purser, Tim via phone (806) 791-7410.
Contact Information
Primary practice address
5605 Colleyville Blvd
Colleyville TX 76034-6022
Phone: (817) 577-5030
Fax: (817) 503-7862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 22751 | Texas |
Profile Details
| NPI number | 1073651162 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | Market Street Pharmacy #560 |
| Authorized official | Purser, Tim CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 19th, 2018 - 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 | 1073651162 | NPPES |
| Texas | MEDICAID | 470170 | |
| Texas | MEDICAID | 163589801 | |
| Texas | Other | 2099062 |
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