Organization
AA PHARMACY LLC
Active
Other names
AA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMOS MOMANYI ABUGA RPH (PHARMACY DIRECTOR)
(214) 476-6289
Entity
Organization
Contact information
Practice address
17826 DAVENPORT RD STE B, DALLAS, TX 75252-5876
(469) 351-3462
(469) 565-2220
Mailing address
17826 DAVENPORT RD STE B, DALLAS, TX 75252-5876
(469) 351-3462
(469) 565-2220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
33278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147110
—
TX
01
—
33278
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
01/29/2015
Last updated
08/31/2016
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