Organization
NATIONSHEALTH SPECIALTY RX LLC
Active
Organization
NATIONSHEALTH SPECIALTY RX LLC
Active
Other names
NATIONSHEALTH SPECIALTY RX
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUSH (PRESIDENT)
(214) 572-0688
Entity
Organization
Contact information
Practice address
16750 WESTGROVE DR STE 300, ADDISON, TX 75001-5655
(214) 572-0688
(469) 461-0277
Mailing address
16750 WESTGROVE DR STE 300, ADDISON, TX 75001-5655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
TX24405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539930
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
09/25/2007
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