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1619454204
LONG PRAIRIE PHARMACY LLC
FLOWER MOUND, TX
NPI
1619454204
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Entity Type
Organization
Authorized Contact
VRAJESH SHETH
Officer/PIC
972-410-3773
Organization Subpart ?
No
Primary Taxonomy
3336M0002X Pharmacy, Mail Order Pharmacy
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
LONG PRAIRIE PHARMACY LLC
4921 LONG PRAIRIE RD STE 105
FLOWER MOUND, TX 75028-2742
Phone number: 972-410-3773
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Mailing Address
LONG PRAIRIE PHARMACY LLC
4921 LONG PRAIRIE RD STE 105
FLOWER MOUND, TX 75028-2742
Phone number: 972-410-3773
Copy
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