NPI | 1659780302 |
---|---|
Doing Business As | MEDICINE SHOPPE #2015 |
Entity Type | Organization |
Authorized Contact | VIMAL BHAKTA Managing Member 972-839-0724 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29403) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2021-01-10 |