# UPTOWN SPECIALTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902722978
- **Authorized official:** AFAM NWANGWU PHARM D (OWNER)
- **Authorized official phone:** (817) 899-5520

## Contact information

- **Practice address:** 131 DEGAN AVE STE 103D, LEWISVILLE, TX 75057-3664
- **Practice address phone:** (214) 989-3629
- **Practice address fax:** (972) 947-5294
- **Mailing address:** 131 DEGAN AVE STE 103D, LEWISVILLE, TX 75057-3664
- **Mailing address phone:** (214) 989-3629
- **Mailing address fax:** (972) 947-5294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2026
- **Last updated:** 06/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36202 | TEXAS STATE BOARD OF PHARMACY LICENSE | TX |