United Pharmacy #677
LBN: United Supermarkets Llc
United Pharmacy #677 is an health care organization with primary practice located at 1350 E 8Th St , Odessa TX 79761-4714. 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) 332-7361, or through Purser, Tim via phone (806) 791-7410.
Contact Information
Primary practice address
1350 E 8Th St
Odessa TX 79761-4714
Phone: (432) 332-7361
Fax: (432) 332-0393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 29387 | Texas |
Profile Details
| NPI number | 1316984743 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | United Pharmacy #677 |
| Authorized official | Purser, Tim CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 25th, 2020 - about 4 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 | 1316984743 | NPPES |
| Other | 2090221 | PK | |
| MEDICAID | 467074 | PK |
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