Organization
CRYSTAL LIFE PHARMACY INC
Active
Other names
Crystal Life Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN EKUTTI (MANAGER)
(972) 449-0800
Entity
Organization
Contact information
Practice address
1441 COIT RD STE F, PLANO, TX 75075-7768
(469) 209-6074
(469) 209-6074
Mailing address
1441 COIT RD STE F, PLANO, TX 75075-7768
(469) 209-6074
(469) 209-6074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
09/20/2023
Last updated
01/28/2024
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