Organization
A & C DISCOUNT PHARMACY LLC
Active
Other names
A&C DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN IDODO (PIC)
(972) 896-5516
Entity
Organization
Contact information
Practice address
8067 W VIRGINIA DR, DALLAS, TX 75237-3767
(972) 230-5601
(972) 228-3028
Mailing address
8067 W VIRGINIA DR, DALLAS, TX 75237-3767
(972) 230-5601
(972) 228-3028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4553384
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/07/2009
Last updated
08/11/2009
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