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Organization
HANSABA LLC
Active
Organization
HANSABA LLC
Active
Other names
sachse discount pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
URVI CHIRAG SOMPURA P (OWNER)
(469) 443-0424
Entity
Organization
Contact information
Practice address
5624 HIGHWAY 78, SACHSE, TX 75048-3744
(469) 443-0424
(469) 443-0468
Mailing address
5624 HIGHWAY 78, SACHSE, TX 75048-3744
(469) 443-0424
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150173
—
TX
Enumeration date
11/21/2019
Last updated
06/12/2024
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