Organization
SRR HEALTHCARE INC
Active
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
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