Organization
BOTW HEALTH, INC
Active
Other names
Valley View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY THANH NGUYEN (PIC)
(682) 320-3333
Entity
Organization
Contact information
Practice address
12879 JOSEY LN STE 115, FARMERS BRANCH, TX 75234-6374
(972) 982-2232
(972) 982-2366
Mailing address
12895 JOSEY LN STE 124-263, FARMERS BRANCH, TX 75234-8301
(972) 982-2232
(972) 982-2366
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150166
—
TX
Enumeration date
10/19/2019
Last updated
04/13/2020
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