Provider Demographics
NPI:1720482367
Name:FRIENDS' PHARMACY LLC
Entity Type:Organization
Organization Name:FRIENDS' PHARMACY LLC
Other - Org Name:NEIGHBORHOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-266-1912
Mailing Address - Street 1:9212 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765
Mailing Address - Country:US
Mailing Address - Phone:432-266-1912
Mailing Address - Fax:432-614-9351
Practice Address - Street 1:116 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:TX
Practice Address - Zip Code:76932-5211
Practice Address - Country:US
Practice Address - Phone:325-716-1800
Practice Address - Fax:432-631-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX295683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy