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Organization
PERSONAL PHARMACY CONSULTANTS, LLC
Active
Organization
PERSONAL PHARMACY CONSULTANTS, LLC
Active
Other names
Jackrabbit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CLEMENS RPH (OWNER)
(972) 564-9000
Entity
Organization
Contact information
Practice address
420 PINSON RD, FORNEY, TX 75126-9766
(972) 564-9000
(972) 564-9018
Mailing address
420 PINSON RD, FORNEY, TX 75126-9766
(972) 564-9000
(972) 564-9018
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532570
NCPDP
TX
Enumeration date
04/03/2007
Last updated
08/22/2020
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