# REUSSI HEALTHCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reussi Healthcare LLC, Reussi Therapeutics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306587621
- **Authorized official:** DR. MODUPE FAMODIMU PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (832) 755-3078

## Contact information

- **Practice address:** 5501 INDEPENDENCE PKWY STE 311, PLANO, TX 75023-5468
- **Practice address phone:** (832) 755-3078
- **Mailing address:** 8055 WINDROSE AVE APT 3121, PLANO, TX 75024-0268
- **Mailing address phone:** (832) 755-3078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2022
- **Last updated:** 04/14/2022