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
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