Organization
MEDICAL MART & DME
Active
Other names
Health Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FAT-ANTHONY (PIC)
(956) 424-3535
Entity
Organization
Contact information
Practice address
3401 W MILE 5 RD, SUITE 2, MISSION, TX 78574-5313
(956) 424-3535
(956) 424-3599
Mailing address
3401 W MILE 5 RD, SUITE 2, MISSION, TX 78574-5313
(956) 424-3535
(956) 424-3599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28238
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136913
PK
—
Enumeration date
04/12/2012
Last updated
03/14/2017
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