| NPI | 1730947102 |
|---|---|
| Doing Business As | RENUE RX #12- LTC |
| Entity Type | Organization |
| Authorized Contact | RAJ MILAN CHHADUA Managing Partner 469-294-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |