Organization
OVERFLOW PLUS LLC
Active
Organization
OVERFLOW PLUS LLC
Active
Other names
Brookhaven Apothecary & Surgical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
NDUFOLA KIGHAM (CEO)
(972) 620-2121
Entity
Organization
Contact information
Practice address
4373 S HAMPTON RD STE 1, DALLAS, TX 75232-1058
(972) 620-2121
(972) 484-2603
Mailing address
4373 S HAMPTON RD, STE 1, DALLAS, TX 75232-1058
(972) 620-2121
(972) 484-2603
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140793
—
TX
01
—
2126432
PK
—
Enumeration date
11/17/2006
Last updated
06/24/2014
Update your record
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