Market Street Pharmacy
LBN: United Supermarkets Llc
Market Street Pharmacy is an health care organization with primary practice located at 4590 Kell Blvd , Wichita Falls TX 76309-4713. 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 (940) 692-3443, or through Purser, Tim via phone (806) 791-0220.
Contact Information
Primary practice address
4590 Kell Blvd
Wichita Falls TX 76309-4713
Phone: (940) 692-3443
Fax: (940) 696-5178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | TX21391 | Texas |
Profile Details
| NPI number | 1801934997 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | Market Street Pharmacy |
| Authorized official | Purser, Tim RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jan 26th, 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 | 1801934997 | NPPES |
| Texas | MEDICAID | 149311602 | |
| Texas | Other | 2097259 | |
| Texas | MEDICAID | 465180 | |
| Texas | MEDICAID | 149311601 | |
| Texas | MEDICAID | 149311601/49311602 |
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