Organization
MED CREATIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAR (MANAGING MEMBER)
(844) 231-2565
Entity
Organization
Contact information
Practice address
3218 BELTLINE RD, SUITE 510, FARMERS BRANCH, TX 75234
(844) 231-2565
(844) 244-2838
Mailing address
3218 BELTLINE RD, SUITE 510, FARMERS BRANCH, TX 75234
(844) 231-2565
(844) 244-2838
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
1001667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001821
PRESCRIPTION DRUG DISTRIBUTOR
TX
Enumeration date
05/13/2016
Last updated
02/16/2017
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