Organization
ANISHA0226 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITESHKUMAR PATEL RPH (PRESIDENT/OWNER)
(714) 858-2358
Entity
Organization
Contact information
Practice address
4245 E BERRY ST, FORT WORTH, TX 76105-2789
(817) 969-4096
(817) 369-3233
Mailing address
1325 SPRING RIDGE LN, FLOWER MOUND, TX 75028
(817) 969-4096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148348
—
TX
Enumeration date
03/03/2015
Last updated
08/07/2025
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