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Organization

SERENE PHARMACY LLC

Active
Other names
Serene Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN KUYKENDALL (OWNER)
(214) 903-4830
Entity
Organization

Contact information

Practice address
2436 S INTERSTATE 35 E, STE 360, DENTON, TX 76205
(214) 903-4830
(214) 903-4834
Mailing address
2436 S INTERSTATE 35 E, STE 360, DENTON, TX 76205-4992
(214) 903-4830
(214) 903-4834

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
31587
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2171381
PK
Enumeration date
09/06/2017
Last updated
08/02/2018
About Stedi
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  • EDI platform