Provider Demographics
NPI:1134555485
Name:US DRUG MART, INC.
Entity type:Organization
Organization Name:US DRUG MART, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-775-1180
Mailing Address - Street 1:601 N PARKWAY DR, STE A
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009
Mailing Address - Country:US
Mailing Address - Phone:817-783-2727
Mailing Address - Fax:817-783-2501
Practice Address - Street 1:601 N PARKWAY DR, STE A
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009
Practice Address - Country:US
Practice Address - Phone:817-783-2727
Practice Address - Fax:817-783-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28796OtherTEXAS STATE BOARD OF PHARMACY