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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