Organization
PANCHO INDEPENDENT PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS E. NJIE (PHARMACIST)
(972) 660-8884
Entity
Organization
Contact information
Practice address
2985 S HWY 360, SUITE 145, GRAND PRAIRIE, TX 75052-6414
(972) 660-8884
(972) 660-8886
Mailing address
2985 S HWY 360, SUITE 145, GRAND PRAIRIE, TX 75052-6414
(972) 660-8884
(972) 660-8886
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145862
—
TX
Enumeration date
12/16/2009
Last updated
12/16/2009
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