# PANCHO INDEPENDENT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CREEKWOOD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760959860
- **Authorized official:** DR. FRANCIS NJIE PHAR-D (PRESIDENT)
- **Authorized official phone:** (713) 253-5115

## Contact information

- **Practice address:** 790 KELLER PKWY STE 1505, KELLER, TX 76248-2403
- **Practice address phone:** (713) 253-5115
- **Practice address fax:** (817) 379-2677
- **Mailing address:** 1108 WISHING TREE LN, KELLER, TX 76248-5272
- **Mailing address phone:** (713) 253-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 10/26/2018