Provider Demographics
NPI:1235184086
Name:MD PHARMACEUTICALS LLC
Entity Type:Organization
Organization Name:MD PHARMACEUTICALS LLC
Other - Org Name:FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MENBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GALINET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-547-6789
Mailing Address - Street 1:502 S OLD ORCHARD LN
Mailing Address - Street 2:SUITE 128
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4374
Mailing Address - Country:US
Mailing Address - Phone:972-906-0067
Mailing Address - Fax:972-906-9084
Practice Address - Street 1:502 S OLD ORCHARD LN
Practice Address - Street 2:SUITE 128
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4374
Practice Address - Country:US
Practice Address - Phone:972-906-0067
Practice Address - Fax:972-906-9084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249643336C0003X
3336L0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4541036OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX145668Medicaid