Organization
NEO TEXAS LLC
Active
Other names
CAREONE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANTHI CHALLA (OWNER)
(866) 417-0903
Entity
Organization
Contact information
Practice address
360 STONEBROOK PKWY STE-112A, FRISCO, TX 75036
(142) 960-0402
(214) 960-2575
Mailing address
360 STONEBROOK PKWY STE-112A, FRISCO, TX 75036
(603) 727-8169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150080
—
TX
Enumeration date
06/07/2019
Last updated
12/10/2024
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