I.D. DOCTORS PHARMACY; NPI #1245579143

Contact Information

I.D. DOCTORS PHARMACY

2636 TIBBETS DR
BEDFORD, TX 76022-6919

Phone: 817-858-0065
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for I.D. DOCTORS PHARMACY

NPI Number 1245579143

LBN Legal business name I.D. DOCTORS PHARMACY

Authorized official HEEWON SUH - (PHARMACIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/12/2013

Last updated 04/06/2022 - About 4 years ago

Identifiers

TX	License #	21765
TX	Medicaid	146907401
	Other	5908011	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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I.D. DOCTORS PHARMACY

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for I.D. DOCTORS PHARMACY

Reviews for I.D. DOCTORS PHARMACY