# POWERHOUSE PHARMACY RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Powerhouse Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376344804
- **Authorized official:** KUMUDBEN SHAHIWALA (OFFICER)
- **Authorized official phone:** (214) 350-2900

## Contact information

- **Practice address:** 4740 W MOCKINGBIRD LN STE 100B, DALLAS, TX 75209-5208
- **Practice address phone:** (214) 350-2900
- **Mailing address:** 4740 W MOCKINGBIRD LN STE 100B, DALLAS, TX 75209-5208
- **Mailing address phone:** (214) 350-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2025
- **Last updated:** 03/21/2025