Organization
MPNS PHARMACY MGT LLC
Active
Organization
MPNS PHARMACY MGT LLC
Active
Other names
Texan Specialty Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MINA R SHAH (OFFICER)
(732) 318-9628
Entity
Organization
Contact information
Practice address
1515 MEDICAL PKWY STE 101A, CEDAR PARK, TX 78613-2776
(512) 296-2633
Mailing address
1 JEAN CT, SOMERSET, NJ 08873-7337
(732) 318-9628
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33039
TEXAS STATE BOARD OF PHARMACY
TX
01
—
7803370001
MEDICARE PTAN
TX
Enumeration date
12/24/2019
Last updated
04/04/2022
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