Organization
FIFTY50 FOODS LP
Active
Other names
Fifty50 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R LYNCH (PRESIDENT/OWNER)
(972) 243-2727
Entity
Organization
Contact information
Practice address
1420 VALWOOD PKWY, SUITE 205, CARROLLTON, TX 75006-8312
(972) 243-2727
(972) 243-3111
Mailing address
1420 VALWOOD PKWY, SUITE 205, CARROLLTON, TX 75006-8312
(972) 243-2727
(972) 243-3111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0086459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014330701
—
TX
Enumeration date
05/20/2006
Last updated
08/22/2008
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