Organization
SLS HEALTH INC
Active
Other names
Community Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GILBERT BS (PIC)
(972) 317-5599
Entity
Organization
Contact information
Practice address
1301 FM 407 JUSTIN RD STE 212, LEWISVILLE, TX 75077-2184
(972) 317-5599
(972) 317-5141
Mailing address
1301 FM 407 JUSTIN RD STE 212, LEWISVILLE, TX 75077-2184
(972) 317-5599
(972) 317-5141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26769
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148478
—
TX
01
—
2124231
PK
—
Enumeration date
01/15/2010
Last updated
03/23/2017
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