Organization
UHS RETAIL PHARMACY LLC
Active
Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy at Mission
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHAN BSC PHARMACY (MANAGING CONSULTANT)
(775) 440-7424
Entity
Organization
Contact information
Practice address
900 E INTERSTATE HIGHWAY 2 STE A, MISSION, TX 78572-5757
(956) 445-5383
(956) 585-0023
Mailing address
2345 E PRATER WAY, SPARKS, NV 89434-9600
(775) 432-7907
(775) 343-0102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148014
—
TX
01
—
2154458
PK
—
Enumeration date
10/21/2015
Last updated
10/27/2016
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