Organization
PARAGON SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULFAT U NISA RPH (OFFICER)
(855) 355-3552
Entity
Organization
Contact information
Practice address
2920 MOTLEY DR, SUITE 800, MESQUITE, TX 75150
(855) 355-3552
(855) 355-3554
Mailing address
2920 MOTLEY DR, SUITE 800, MESQUITE, TX 75150
(855) 355-3552
(855) 355-3554
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30072
TX
Other
Enumeration date
07/27/2015
Last updated
11/29/2016
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