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Organization
SUNDANCE APOTHECARY, LP
Active
Organization
SUNDANCE APOTHECARY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ MILAN CHHADUA (MANAGING PARTNER)
(682) 285-1100
Entity
Organization
Contact information
Practice address
201 COMMERCE ST STE 201, FORT WORTH, TX 76102-7206
(682) 285-1100
(682) 285-1103
Mailing address
PO BOX 2735, FRISCO, TX 75034-0051
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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