Organization
PRESTON ROAD PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN P. LIPE PHARM.D. (PRESIDENT/PIC)
(214) 521-9991
Entity
Organization
Contact information
Practice address
6901 PRESTON RD, DALLAS, TX 75205-1186
(214) 521-9991
(214) 521-1649
Mailing address
6901 PRESTON RD, DALLAS, TX 75205-1186
(214) 521-9991
(214) 521-1649
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03321
TX
Other
Enumeration date
08/30/2006
Last updated
08/18/2008
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