Executive Healthcare in Dallas - Community/retail Pharmacy

Executive Healthcare - NPI 1598865800

Executive Healthcare is a Community/retail Pharmacy in Dallas, Texas. Executive Healthcare practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Executive Healthcare is 1598865800. The last update date is 2015-12-10.

Executive Healthcare's current location address is Po Box 797604, Dallas, Texas. You can contact this provider via phone number 9727029310 and fax number 9724587111. The mailing address for Executive Healthcare is Po Box 797604, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Executive Healthcare
Address Po Box 797604, Dallas, Texas
Phone Number 9727029310
Fax Number 9724587111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Narosov Semyon
Telephone Number 2143578889

NPI Number Detail

NPI Number 1598865800
Provider Enumeration Date 2006-09-25
Last Updated Date 2015-12-10

Provider Mailing Address Detail

Address Po Box 797604
City Dallas
State Texas (TX)
Post Code 753797604
Phone Number 9727029310
Fax Number 9724587111

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 26627
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2091865 PK

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FAQs about Executive Healthcare

What is the unique 10-digit identifier code assigned to Executive Healthcare by the Centers for Medicare & Medicaid Services?

The Executive Healthcare has been issued the NPI (National Provider Identifier) 1598865800 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Executive Healthcare is located?

The Executive Healthcare is situated at the following address: Po Box 797604, Dallas, TX, 753797604.

What is Executive Healthcare's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Executive Healthcare is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.

On what date did the Executive Healthcare receive the assignment of its 1598865800 from the Centers for Medicare & Medicaid Services?

The Executive Healthcare was issued its 1598865800 by the Centers for Medicare & Medicaid Services on 2006-09-25.

When was the information regarding Executive Healthcare, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Executive Healthcare, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-10.

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