Organization
AYDIL HEALTHCARE, PLLC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL LAKHU BHAKTA R.PH. (OWNER/PHARMACIST)
(972) 734-6281
Entity
Organization
Contact information
Practice address
501 E PRINCETON DR # 100, PRINCETON, TX 75407
(972) 734-6281
(972) 736-4615
Mailing address
501 E PRINCETON DR # 100, P.O. BOX 1391, PRINCETON, TX 75407
(972) 734-6281
(972) 736-4615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146010
—
TX
Enumeration date
01/29/2009
Last updated
02/11/2010
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