Organization
US DRUG MART INC
Active
Other names
Fabens Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PASCHAL (VICE PRESIDENT)
(972) 775-1180
Entity
Organization
Contact information
Practice address
1420 FABENS RD STE B, FABENS, TX 79838
(915) 764-2739
(915) 764-7639
Mailing address
PO BOX 1233, FABENS, TX 79838-1233
(915) 764-2739
(915) 764-3661
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149710
—
TX
01
—
2172043
PK
—
Enumeration date
10/17/2017
Last updated
03/31/2023
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