I.D. Doctors Pharmacy

LBN: I.D. Doctors Pharmacy
I.D. Doctors Pharmacy is an health care organization with primary practice located at 2636 Tibbets Dr , Bedford TX 76022-6919. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. I.D. Doctors Pharmacy can be contacted via phone (817) 858-0065, or through Suh, Heewon via phone (972) 484-7700.

Contact Information

Primary practice address
2636 Tibbets Dr Bedford TX 76022-6919
Phone: (817) 858-0065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Suh, Heewon
Phone: (972) 484-7700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 21765 Texas

Profile Details

NPI number 1245579143
LBN Legal business name I.D. Doctors Pharmacy
DBA Doing business as I.D. Doctors Pharmacy
Authorized official Suh, Heewon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2013
Last updated Apr 6th, 2022 - about 3 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 1245579143 NPPES
Other 5908011 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 146907401 NCPDP PROVIDER IDENTIFICATION NUMBER

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