=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780784090
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARRINGTON'S ACQUISITION, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3434 SWISS AVE
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-823-4520
-----------------------------------------------------
Fax | 214-821-6609
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 546
-----------------------------------------------------
City | COLLEYVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-503-8880
-----------------------------------------------------
Fax | 877-977-6611
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OPERATIONS
-----------------------------------------------------
Name | MR. MANNY ANZALDUA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-503-8880
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 00523
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 25221
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 25221
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------