Organization
BANDERA APOTHECARY LP
Active
Organization
BANDERA APOTHECARY LP
Active
Other names
ReNue RX #6, ReNue Pharmacy, NetCare Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ MILAN CHHADUA PHARMD (OWNER/MANAGING PARTNER)
(214) 422-2598
Entity
Organization
Contact information
Practice address
2270 SPRINGLAKE RD # 800B, FARMERS BRANCH, TX 75234-5872
(210) 802-0511
(210) 802-0512
Mailing address
PO BOX 2735, FRISCO, TX 75034-0051
(469) 294-2001
(210) 256-8199
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144664
—
TX
01
—
2090498
PK
—
05
—
752368
—
TX
Enumeration date
11/17/2006
Last updated
07/20/2022
Update your record
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