Organization
OCEAN BLUE HOLDINGS, LLC
Active
Organization
OCEAN BLUE HOLDINGS, LLC
Active
Other names
TEXAS HEALTH RX PHARMACY, Johnson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENUKABEN PATEL (OFFICER)
(856) 873-3826
Entity
Organization
Contact information
Practice address
12333 BEAR PLZ STE 100, BURLESON, TX 76028-0284
(817) 789-4099
(800) 616-4641
Mailing address
12333 BEAR PLZ STE 100, BURLESON, TX 76028-0284
(817) 789-4099
(800) 616-4641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150249
—
TX
Enumeration date
08/28/2018
Last updated
09/11/2024
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