Organization
JESPERSEN FAMILY DRUG INC.
Active
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
Update your record
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