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Contact Information

ADDIS PHARMACY INC
3305 S MAYHILL ROAD
SUITE 101
DENTON, TX76208
 Phone: 940-382-0079
 Fax: 940-382-0002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADDIS PHARMACY INC

NPI # 1639471543
LBN Legal business name ADDIS PHARMACY INC
Authorized official NOON HAMID - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2010
Last updated 04/28/2023 - About 3 years ago
Identifiers
TX License # 27905
TX Medicaid 146544
Other 5905229 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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