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
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