Provider Demographics
NPI:1285173732
Name:FRISCORX AND COMPOUNDING LLC
Entity type:Organization
Organization Name:FRISCORX AND COMPOUNDING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AKINDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINSEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-680-0830
Mailing Address - Street 1:7227 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5794
Mailing Address - Country:US
Mailing Address - Phone:469-888-4190
Mailing Address - Fax:866-375-7404
Practice Address - Street 1:7227 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5794
Practice Address - Country:US
Practice Address - Phone:469-888-4190
Practice Address - Fax:866-375-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX313713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168043OtherPK