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Organization
AMBIKA PHARMACY LLC
Active
Organization
AMBIKA PHARMACY LLC
Active
Other names
Mansfield Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA R TURLEY (MANAGER)
(817) 423-3636
Entity
Organization
Contact information
Practice address
2300 MATLOCK RD STE 37, MANSFIELD, TX 76063-5018
(682) 422-4421
(682) 292-1659
Mailing address
2300 MATLOCK RD, SUITE 37, MANSFIELD, TX 76063-5019
(682) 422-4421
(682) 292-1659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
32067
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177900
PK
—
Enumeration date
06/01/2018
Last updated
07/10/2019
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