Organization
WHITE CROSS RX LLC
Active
Other names
White Cross Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN DAIDA (MANAGING MEMBER)
(972) 215-9072
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 128, SAN ANTONIO, TX 78212-5609
(210) 227-7207
(210) 227-4763
Mailing address
1303 MCCULLOUGH AVE, SUITE 128, SAN ANTONIO, TX 78212-5609
(210) 227-7207
(210) 227-4763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142486
—
TX
Enumeration date
02/20/2007
Last updated
01/02/2020
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