Organization
INNOVIA RX LLC
Active
Other names
Health Rx Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NILIMA PATEL RPH (PHARMACY MANAGER/OWNER)
(214) 843-4727
Entity
Organization
Contact information
Practice address
580 S DENTON TAP RD STE 295, COPPELL, TX 75019-4098
(469) 830-7400
(469) 830-7401
Mailing address
624 TERRACE ST, COPPELL, TX 75019-2021
(214) 843-4727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150366
—
TX
01
—
33569
STATE PHARMACY LICENSE
TX
Enumeration date
06/14/2017
Last updated
01/20/2022
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