Organization
VERDE PHARMACY AND MEDICAL SUPPLY
Active
Other names
Verde Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OSARU OKORO (OWNER /PIC)
(817) 937-6413
Entity
Organization
Contact information
Practice address
2929 N GALLOWAY AVE STE 116, MESQUITE, TX 75150-4800
(972) 807-2493
(972) 954-2007
Mailing address
2929 N GALLOWAY AVE STE 116, MESQUITE, TX 75150-4800
(972) 807-2493
(972) 954-2007
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
01/27/2015
Last updated
04/19/2019
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