Organization
CONSUMER SAVING ADVANTAGE PHARMACY INC
Active
Other names
csa pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC BOGONKO (PHARMACY MANAGER)
(281) 250-4134
Entity
Organization
Contact information
Practice address
10235 LAKE JUNE RD STE 400, DALLAS, TX 75217-3376
(214) 628-7206
(214) 628-7207
Mailing address
7209 NORTHERN LIGHTS CT, PLANO, TX 75074-8990
(281) 250-4134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130123
PK
—
Enumeration date
03/25/2011
Last updated
08/14/2013
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