Provider Demographics
NPI:1265503833
Name:M S YOUNG ENTERPRISES LLC
Entity Type:Organization
Organization Name:M S YOUNG ENTERPRISES LLC
Other - Org Name:ENGLISH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-723-6060
Mailing Address - Street 1:2600 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-2236
Mailing Address - Country:US
Mailing Address - Phone:940-723-6060
Mailing Address - Fax:940-723-1309
Practice Address - Street 1:2600 10TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-2236
Practice Address - Country:US
Practice Address - Phone:940-723-6060
Practice Address - Fax:940-723-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
TX282993336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146697Medicaid
2138245OtherPK
TX6729450001Medicare NSC