Organization
MPP PHARMACY INC.
Active
Other names
Super Mercado Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHAIRANT PATEL (OFFICER)
(432) 682-9501
Entity
Organization
Contact information
Practice address
2208 N BIG SPRING ST, MIDLAND, TX 79705
(432) 682-9501
(432) 682-9497
Mailing address
2208 N BIG SPRING ST, MIDLAND, TX 79705
(432) 682-9501
(432) 682-9497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
25536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145797
—
TX
01
—
2097313
PK
—
Enumeration date
08/10/2006
Last updated
05/08/2024
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