Healthcare Provider Details
I. General information
NPI: 1770697765
Provider Name (Legal Business Name): US DRUG MART INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 S MAIN ST
FERRIS TX
75125-2523
US
IV. Provider business mailing address
103 S MAIN ST
FERRIS TX
75125-2523
US
V. Phone/Fax
- Phone: 972-544-3660
- Fax: 972-842-3916
- Phone: 972-544-3660
- Fax: 972-842-3916
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 13905 |
| License Number State | TX |
VIII. Authorized Official
Name:
DAVID
PASCHAL
Title or Position: VP
Credential:
Phone: 972-775-1180