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Organization
ECHO HEALTH LLC
Active
Organization
ECHO HEALTH LLC
Active
Other names
Nova Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBIECHINA EZEKWESILI PHARMD (DIRECTOR OF PHARMACY)
(305) 924-3247
Entity
Organization
Contact information
Practice address
2651 E BROAD ST STE 101, MANSFIELD, TX 76063-3899
(682) 400-8154
Mailing address
2651 E BROAD ST STE 101, MANSFIELD, TX 76063-3899
(682) 400-8154
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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