Provider Demographics
NPI:1942777222
Name:HCP PHARMACY 2 LLC
Entity Type:Organization
Organization Name:HCP PHARMACY 2 LLC
Other - Org Name:HCP PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-208-4850
Mailing Address - Street 1:PO BOX 631514
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0019
Mailing Address - Country:US
Mailing Address - Phone:214-208-4850
Mailing Address - Fax:
Practice Address - Street 1:3020 MATLOCK RD STE 205
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2901
Practice Address - Country:US
Practice Address - Phone:214-208-4850
Practice Address - Fax:817-886-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150069Medicaid