Market Street Pharmacy #553
LBN: United Supermarkets Llc
Market Street Pharmacy #553 is an health care organization with primary practice located at 4425 19Th St , Lubbock TX 79407-2408. 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) 788-2015, or through Purser, Tim via phone (806) 791-7410.
Contact Information
Primary practice address
4425 19Th St
Lubbock TX 79407-2408
Phone: (806) 788-2015
Fax: (806) 788-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 21408 | Texas |
Profile Details
| NPI number | 1477531366 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | Market Street Pharmacy #553 |
| Authorized official | Purser, Tim CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477531366 | NPPES |
| Texas | MEDICAID | 148892601 | |
| Texas | MEDICAID | 465189 | |
| Texas | Other | 2098859 |
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