Pillers Super Drug Inc
Organization Active NPI Community/Retail Pharmacy · Cooper, TX
NPI 1790099653 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1790099653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 27005 (TX)
- Legal business name
- PILLERS SUPER DRUG INC
- Practice address
- 102 E Dallas Ave
Cooper, TX 75432-2043 - Phone
- (903) 395-2161
- Fax
- (903) 300-3701
- NPI assigned
- Aug 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Suzanne Patel, RPH
- Title
- Owner
- Phone
- (903) 513-4895
Practitioners 2
-
Suzanne Patel, RPH
-
Yogi V Patel, RPH
National Provider Directory
Locations
102 E Dallas Ave
Cooper, TX 75432
Phone (903) 395-2161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27005 | TX | Yes |
Addresses
Primary practice location
102 E Dallas Ave
Cooper, TX 75432-2043
Mailing address
102 E Dallas Ave
Cooper, TX 75432-2043
Phone (903) 395-2161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126153 | Other | PK | |
| 146231 | Medicaid | TX |
Other names
- Millers Pharmacy
Other providers in Cooper, TX
- Millers Pharmacy
- Amber Pacheco
- Anthony Charles Pacheco
- Yogi V Patel
- Ann M Patton
- Demeatrice Renee Sheppard
- Marissa Welch
All providers in Cooper, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.