Organization
ROSS AVENUE PHARMACY LLC.
Active
Other names
Family Pharmacy #3
Organization subpart
No
Provider details
NPI number
Authorized official
TAE HOON UHM (PHARMACIST IN CHARGE)
(972) 833-7999
Entity
Organization
Contact information
Practice address
5101 ROSS AVE, SUITE # 100, DALLAS, TX 75206-7762
(972) 833-7999
(972) 755-4192
Mailing address
5101 ROSS AVENUE RD, SUITE # 100, DALLAS, TX 75206-7762
(972) 833-7999
(972) 755-4192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
29202
TX
3336C0003X
Community/Retail Pharmacy
Primary
29202
TX
3336C0004X
Compounding Pharmacy
29202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146981
—
TX
Enumeration date
05/13/2014
Last updated
10/30/2014
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