Provider Demographics
NPI:1093153991
Name:PFP FM, LLC
Entity Type:Organization
Organization Name:PFP FM, LLC
Other - Org Name:PEOPLEFIRST PHARMACY #3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-492-8841
Mailing Address - Street 1:PO BOX 118043
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-8043
Mailing Address - Country:US
Mailing Address - Phone:972-492-8841
Mailing Address - Fax:972-300-3640
Practice Address - Street 1:4001 LONG PRAIRIE RD # 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1565
Practice Address - Country:US
Practice Address - Phone:972-478-0086
Practice Address - Fax:970-874-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX284973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2140726OtherPK