Market Street Pharmacy #564

LBN: United Supermarkets Llc
Market Street Pharmacy #564 is an health care organization with primary practice located at 700 N Denton Tap Rd , Coppell TX 75019-2162. 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. United Supermarkets Llc can be contacted via phone (469) 322-6815, or through Purser, Tim via phone (806) 791-7410.

Contact Information

Primary practice address
700 N Denton Tap Rd Coppell TX 75019-2162
Phone: (469) 322-6815
Fax: (469) 322-6816
Website:
Map and Directions
Authorized official contact:
Name: Purser, Tim CPHT
Phone: (806) 791-7410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26273 Texas

Profile Details

NPI number 1104062280
LBN Legal business name United Supermarkets Llc
DBA Doing business as Market Street Pharmacy #564
Authorized official Purser, Tim CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2008
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 1104062280 NPPES
Texas MEDICAID 470512
Texas Other 2118308

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