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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