Organization
RED DOOR PHARMACY AND GIFTS LLC
Active
Other names
Red Door Pharmacy and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SHIPP PHARMD (OWNER, PHARMACIST IN CHARGE)
(817) 259-1463
Entity
Organization
Contact information
Practice address
2488 AVONDALE HASLET RD STE 168, HASLET, TX 76052-3220
(817) 259-2636
(817) 259-2636
Mailing address
2488 AVONDALE HASLET RD STE 168, HASLET, TX 76052-3441
(903) 466-4662
(817) 259-2636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167423
PK
—
Enumeration date
01/26/2017
Last updated
12/08/2021
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