Organization
SVP INC.
Active
Other names
Super Vallue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYNE LAUGHBAUM (GENERAL MANAGER)
(817) 283-7300
Entity
Organization
Contact information
Practice address
720 N INDUSTRIAL BLVD, EULESS, TX 76039-7439
(817) 283-5308
(817) 283-2308
Mailing address
720 N INDUSTRIAL BLVD, EULESS, TX 76039-7439
(817) 283-5308
(817) 283-2308
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
16368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510512
—
TX
Enumeration date
03/06/2007
Last updated
09/29/2009
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