Organization
IKA3 LLC
Active
Other names
LANCASTER SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIT KESHUBHAI DHOLARIA PHARMD (VICE PRESIDENT)
(817) 945-5405
Entity
Organization
Contact information
Practice address
2532 OAKLAND BLVD, FORT WORTH, TX 76103-3235
(817) 945-5405
(817) 945-5554
Mailing address
2532 OAKLAND BLVD, FORT WORTH, TX 76103-3235
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
09/11/2023
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