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Organization

MEDPRO PHARMACY #2

Active
Parent organization
MEDPRO PHARMACY, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDPRO PHARMACY, LLC
Authorized official
DR. STEVEN LUJAN RODRIGUEZ PHARMD (MANAGING MEMBER/PHARMACIST IN CHARG)
(972) 312-9148
Entity
Organization

Contact information

Practice address
1120 E PARKER RD, STE 210, PLANO, TX 75074-5329
(972) 312-9148
(972) 312-9145
Mailing address
1120 E PARKER RD, STE 210, PLANO, TX 75074-5329
(972) 312-9148
(972) 312-9145

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27855
TX

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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