Provider Demographics
NPI:1942370028
Name:MEDICAL BUTTERFLY INC
Entity Type:Organization
Organization Name:MEDICAL BUTTERFLY INC
Other - Org Name:DANA DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-231-8885
Mailing Address - Street 1:1701 N COLLINS BLVD
Mailing Address - Street 2:SUITE 328
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3564
Mailing Address - Country:US
Mailing Address - Phone:972-231-8885
Mailing Address - Fax:972-231-8887
Practice Address - Street 1:1701 N COLLINS BLVD
Practice Address - Street 2:SUITE 328
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3564
Practice Address - Country:US
Practice Address - Phone:972-231-8885
Practice Address - Fax:972-231-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX296443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147102Medicaid
2149491OtherPK