Organization
UHS RETAIL PHARMACY LLC
Active
Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy at Edinburg
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHAN BSC PHARMACY (MANAGING CONSULTANT)
(775) 440-7424
Entity
Organization
Contact information
Practice address
1102 W TRENTON RD STE A, EDINBURG, TX 78539-9105
(956) 587-3523
(956) 383-4529
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
30406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148180
—
TX
01
—
2157598
PK
—
Enumeration date
01/29/2016
Last updated
10/27/2016
Update your record
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