Super Drug

LBN: Super Rockwall Drugstore,Lp
Super Drug is an health care organization with primary practice located at 3021 Ridge Rd Suite 103, Rockwall TX 75032-5806. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Super Rockwall Drugstore,Lp can be contacted via phone (972) 772-0500, or through Serna, Marites Talavera via phone (972) 772-0500.

Contact Information

Primary practice address
3021 Ridge Rd Suite 103 Rockwall TX 75032-5806
Phone: (972) 772-0500
Fax: (972) 772-5512
Website:
Map and Directions
Authorized official contact:
Name: Serna, Marites Talavera RPH
Phone: (972) 772-0500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 22390 Texas

Profile Details

NPI number 1467596817
LBN Legal business name Super Rockwall Drugstore,Lp
DBA Doing business as Super Drug
Authorized official Serna, Marites Talavera RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Mar 11th, 2015 - about 11 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 1467596817 NPPES
Texas MEDICAID 145240
Texas Other 22390

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