Organization
KSH RX LLC
Active
Parent organization
BLANK APOTHECARY INC.
Other names
Miller Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLANK APOTHECARY INC.
Authorized official
JEAN MICHEL MUDIAY (OFFICER)
(682) 234-7049
Entity
Organization
Contact information
Practice address
2442 LILLIAN MILLER PKWY STE 115, DENTON, TX 76205-2902
(940) 536-0460
(940) 536-0461
Mailing address
2442 LILLIAN MILLER PKWY STE 115, DENTON, TX 76205-2902
(940) 536-0460
(940) 536-0461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/05/2020
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