Organization
FLOWER MOUND HERBAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WAYNE SONG RPH (PHARMACIST/OWNER)
(972) 355-4614
Entity
Organization
Contact information
Practice address
1001 CROSS TIMBERS RD, THE ATRIUM MALL #1170, FLOWER MOUND, TX 75028-1371
(972) 355-4614
(972) 355-5502
Mailing address
1001 CROSS TIMBERS RD, SUITE #1170, FLOWER MOUND, TX 75028-1371
(972) 355-4614
(972) 355-5502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144725
—
TX
Enumeration date
06/14/2006
Last updated
03/12/2009
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