Market Street Pharmacy #563
LBN: United Supermarkets Llc
Market Street Pharmacy #563 is an health care organization with primary practice located at 985 W Bethany Dr , Allen TX 75013-3740. 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 (972) 908-3840, or through Purser, Tim via phone (806) 791-7410.
Contact Information
Primary practice address
985 W Bethany Dr
Allen TX 75013-3740
Phone: (972) 908-3840
Fax: (972) 908-3841
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 25816 | Texas |
Profile Details
NPI number | 1508042946 |
---|---|
LBN Legal business name | United Supermarkets Llc |
DBA Doing business as | Market Street Pharmacy #563 |
Authorized official | Purser, Tim CPHT |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508042946 | NPPES |
Texas | MEDICAID | 466468 | |
Texas | Other | 2101100 |
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