Super Value Drug
LBN: Graham Gibson'T Phy., Inc.
Super Value Drug is an health care organization with primary practice located at 1005 Highway 16 S , Graham TX 76450-3835. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Graham Gibson'T Phy., Inc. can be contacted via phone (940) 549-4600, or through Mayo, Lowry K. via phone (940) 549-4600.
Contact Information
Primary practice address
1005 Highway 16 S
Graham TX 76450-3835
Phone: (940) 549-4600
Fax: (940) 549-4666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 03797 | Texas |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Texas |
Profile Details
| NPI number | 1134231616 |
|---|---|
| LBN Legal business name | Graham Gibson'T Phy., Inc. |
| DBA Doing business as | Super Value Drug |
| Authorized official | Mayo, Lowry K. RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 17th, 2008 - about 18 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 | 1134231616 | NPPES |
| Texas | Other | 4521224 | NCPDP (NABP) NUMBER |
| Texas | MEDICAID | 4521224 | NCPDP (NABP) NUMBER |
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