# MESQUITE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mesquite Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730707563
- **Authorized official:** ALPESH PATEL (OWNER)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 1320 NORTH GALLOWAY AVE, SUITE 102, MESQUITE, TX 75149
- **Practice address phone:** (972) 285-1761
- **Practice address fax:** (972) 285-1799
- **Mailing address:** 1320 NORTH GALLOWAY AVE, SUITE 102, MESQUITE, TX 75149
- **Mailing address phone:** (972) 285-1761
- **Mailing address fax:** (972) 285-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 09/11/2020
