Organization
SUNDANCE APOTHECARY, LP
Active
Other names
ReNue RX #4
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ MILAN CHHADUA PHARMD (OWNER)
(214) 422-2598
Entity
Organization
Contact information
Practice address
201 COMMERCE ST, FORT WORTH, TX 76102-7206
(682) 285-1100
(682) 285-1103
Mailing address
PO BOX 2735, FRISCO, TX 75034-0051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/14/2023
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