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Organization
MPN PHARMACY MGT LLC
Active
Organization
MPN PHARMACY MGT LLC
Active
Other names
Texan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINA SHAH (PRESIDENT)
(732) 318-9628
Entity
Organization
Contact information
Practice address
7201 WYOMING SPRINGS DR STE 300, ROUND ROCK, TX 78681-4311
(512) 296-2633
(512) 296-2731
Mailing address
7201 WYOMING SPRINGS DR STE 300, ROUND ROCK, TX 78681-4311
(512) 296-2633
(512) 296-2731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30976
TX
3336C0003X
Community/Retail Pharmacy
30976
TX
3336C0004X
Compounding Pharmacy
30976
TX
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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