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Organization

SRR HEALTHCARE INC

Active
Other names
Omni Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
OSCAR NDEREVA (OWNERR)
(469) 969-0090
Entity
Organization

Contact information

Practice address
1210 E PARKER RD STE 120, PLANO, TX 75074-5376
(469) 969-0090
(469) 969-0095
Mailing address
1210 E PARKER RD, STE - 120, PLANO, TX 75074-5334
(469) 969-0090
(469) 969-0095

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
31937
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2176783
PK
Enumeration date
03/29/2018
Last updated
04/01/2020
About Stedi
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