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Organization
AA PHARMACY LLC
Active
Organization
AA PHARMACY LLC
Active
Other names
AA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMOS MOMANYI ABUGA RPH (PHARMACY DIRECTOR)
(214) 476-6289
Entity
Organization
Contact information
Practice address
17826 DAVENPORT RD STE B, DALLAS, TX 75252-5876
(469) 351-3462
(469) 565-2220
Mailing address
17826 DAVENPORT RD STE B, DALLAS, TX 75252-5876
(469) 351-3462
(469) 565-2220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
33278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147110
—
TX
01
—
33278
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
01/29/2015
Last updated
08/31/2016
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