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Organization
REUSSI HEALTHCARE PLLC
Active
Organization
REUSSI HEALTHCARE PLLC
Active
Other names
Reussi Healthcare LLC, Reussi Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODUPE FAMODIMU PHARMD (PHARMACIST IN CHARGE)
(832) 755-3078
Entity
Organization
Contact information
Practice address
5501 INDEPENDENCE PKWY STE 311, PLANO, TX 75023-5468
(832) 755-3078
Mailing address
8055 WINDROSE AVE APT 3121, PLANO, TX 75024-0268
(832) 755-3078
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
NULL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
251K00000X
Public Health or Welfare Agency
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Enumeration date
04/02/2022
Last updated
04/14/2022
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