OrganizationFifty50 Foods Lp(Fifty50 Pharmacy)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address1420 Valwood Pkwy, Suite 205, Carrollton, TX 75006-8312(972) 243-2727PECOS EnrollmentBased on the most recent information from CMS, provider Fifty50 Foods Lp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174577621Provider TypeOrganizationFull NameFifty50 Foods LpOther NameFifty50 PharmacySubpartNoEnumeration Date5/20/2006Last Updated8/22/2008Contact InformationPractice LocationPractice Address1420 Valwood Pkwy, Suite 205, Carrollton, TX 75006-8312Phone(972) 243-2727Fax(972) 243-3111Mailing LocationMailing Address1420 Valwood Pkwy, Suite 205, Carrollton, TX 75006-8312Phone(972) 243-2727Fax(972) 243-3111Authorized OfficialNameLynch, George R (President/Owner)Phone(972) 243-2727Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicense0086459TexasProvider IdentifiersIDDescriptionIssuerID014330701DescriptionMedicaidIssuerUnlistedTexas