Provider Demographics
NPI:1558812206
Name:NATNAO INC
Entity Type:Organization
Organization Name:NATNAO INC
Other - Org Name:RICHARDSON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHTA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:214-732-5572
Mailing Address - Street 1:189 N PLANO RD STE 120
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3855
Mailing Address - Country:US
Mailing Address - Phone:972-479-9798
Mailing Address - Fax:972-479-9781
Practice Address - Street 1:189 N PLANO RD STE 120
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3855
Practice Address - Country:US
Practice Address - Phone:972-479-9798
Practice Address - Fax:972-479-9781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX310533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies