Organization
MGS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL T SHONUGA B PHARM (PHARMACIST IN CHARGE)
(972) 223-8787
Entity
Organization
Contact information
Practice address
2505 W BELT LINE RD, SUITE 600, LANCASTER, TX 75146-1930
(972) 223-8787
Mailing address
PO BOX 765327, DALLAS, TX 75376-5327
(972) 223-8787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145430
—
TX
Enumeration date
12/08/2006
Last updated
08/22/2020
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