Market Street Pharmacy #674
LBN: United Supermarkets Llc
Market Street Pharmacy #674 is an health care organization with primary practice located at 4706 N Midkiff Rd , Midland TX 79705-2564. 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 (432) 699-7578, or through Purser, Tim via phone (806) 791-0220.
Contact Information
Primary practice address
4706 N Midkiff Rd
Midland TX 79705-2564
Phone: (432) 699-7578
Fax: (432) 694-7312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 29385 | Texas |
Profile Details
| NPI number | 1144267600 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | Market Street Pharmacy #674 |
| Authorized official | Purser, Tim RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Aug 31st, 2016 - about 8 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 | 1144267600 | NPPES |
| Other | 2099985 | PK | |
| MEDICAID | 467068 | PK |
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