Organization
PREFERRED PHAMILY PHARMACY & COMPOUNDING
Active
Other names
Unicorn Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA VALLETI (OFFICER)
(214) 619-6060
Entity
Organization
Contact information
Practice address
7000 PARKWOOD BLVD STE F400, FRISCO, TX 75034-7415
(214) 619-6060
(214) 619-6061
Mailing address
7000 PARKWOOD BLVD STE F400, FRISCO, TX 75034-7415
(214) 619-6060
(214) 619-6061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149577
—
TX
01
—
2159553
PK
—
Enumeration date
04/18/2016
Last updated
01/24/2020
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