# MPP PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPER MERCADO PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609624238
- **Authorized official:** DHAIVANT PATEL (OFFICER)
- **Authorized official phone:** (432) 682-9501

## Contact information

- **Practice address:** 2208 N BIG SPRING ST, MIDLAND, TX 79705-8823
- **Practice address phone:** (432) 682-9501
- **Practice address fax:** (432) 682-9497
- **Mailing address:** 2208 N BIG SPRING ST, MIDLAND, TX 79705-8823
- **Mailing address phone:** (432) 682-9501
- **Mailing address fax:** (432) 682-9497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2024
- **Last updated:** 05/08/2024