<Unavail>

LBN: Brandy Pharmacy Corp
<Unavail> is an health care organization with primary practice located at 910 N Galloway Ave Ste 303 , Mesquite TX 75149-2409. 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. Brandy Pharmacy Corp can be contacted via phone (972) 773-9001, or through Naser, Nedal via phone (972) 773-9001.

Contact Information

Primary practice address
910 N Galloway Ave Ste 303 Mesquite TX 75149-2409
Phone: (972) 773-9001
Fax: (972) 773-9584
Website:
Map and Directions
Authorized official contact:
Name: Naser, Nedal
Phone: (972) 773-9001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31336 Texas

Profile Details

NPI number 1194261024
LBN Legal business name Brandy Pharmacy Corp
DBA Doing business as <Unavail>
Authorized official Naser, Nedal
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Nov 27th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194261024 NPPES
Other 2167300 PK

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