Provider Demographics
NPI:1477993541
Name:AB PHARMACY INC
Entity Type:Organization
Organization Name:AB PHARMACY INC
Other - Org Name:ASPCARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-900-2445
Mailing Address - Street 1:981 HART RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-9515
Mailing Address - Country:US
Mailing Address - Phone:972-900-2445
Mailing Address - Fax:
Practice Address - Street 1:1401 E RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1525
Practice Address - Country:US
Practice Address - Phone:956-284-6687
Practice Address - Fax:956-284-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX285863336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141019OtherPK
TX146774Medicaid