Provider Demographics
NPI:1063681013
Name:POIROT PHARMACY SERVICES
Entity Type:Organization
Organization Name:POIROT PHARMACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:FELTS
Authorized Official - Last Name:POIROT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:214-252-1984
Mailing Address - Street 1:4537 WESTWAY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3632
Mailing Address - Country:US
Mailing Address - Phone:214-252-1984
Mailing Address - Fax:
Practice Address - Street 1:4537 WESTWAY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3632
Practice Address - Country:US
Practice Address - Phone:214-252-1984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27891333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy