<Unavail>

LBN: Super Frisco Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 5350 Independence Pkwy Ste 110A , Frisco TX 75035-4652. 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. Super Frisco Pharmacy Llc can be contacted via phone (469) 656-1431, or through Dear, Jack via phone (214) 357-8889.

Contact Information

Primary practice address
5350 Independence Pkwy Ste 110A Frisco TX 75035-4652
Phone: (469) 656-1431
Fax: (469) 675-3027
Website:
Map and Directions
Authorized official contact:
Name: Dear, Jack
Phone: (214) 357-8889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31520 Texas

Profile Details

NPI number 1700309325
LBN Legal business name Super Frisco Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Dear, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2017
Last updated May 31st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700309325 NPPES
Texas MEDICAID 000
Texas MEDICAID 0000
Texas Other 2170590
Texas MEDICAID 00

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