Organization
JESPERSEN FAMILY DRUG INC.
Active
Other names
Ben franklin apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN JESPERSEN RPH (OWNER/PHARMACIST)
(972) 298-4936
Entity
Organization
Contact information
Practice address
302 NORTH MAIN STREET, DUNCANVILLE, TX 75116-3651
(972) 298-4936
(972) 296-9844
Mailing address
302 N MAIN ST, DUNCANVILLE, TX 75116-3651
(972) 298-4936
(972) 296-9844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
11685
TX
3336C0003X
Community/Retail Pharmacy
Primary
11685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015622601
—
TX
05
—
015622603
—
TX
05
—
086683201
—
TX
01
—
506881
BLUE CROSS BLUESHIELD
TX
01
—
PH0477
MEDICARE LOCAL PART B PN
TX
Enumeration date
09/26/2005
Last updated
03/22/2013
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