Organization
BANP ENTERPRISES LLC
Active
Organization
BANP ENTERPRISES LLC
Active
Other names
Family Pharnacy of Pottsboro
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PEIPPO RPH (OWNER)
(903) 786-2006
Entity
Organization
Contact information
Practice address
563 W FM 120, POTTSBORO, TX 75076-9039
(903) 786-2006
(903) 786-4542
Mailing address
563 W FM 120, POTTSBORO, TX 75076-9039
(903) 786-2006
(903) 786-4542
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148327
—
TX
01
—
2126449
PK
—
Enumeration date
08/24/2010
Last updated
09/30/2019
Update your record
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