Organization
NORTH TEXAS INFUSION AND SPECIALTY PHARMACY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON HERCHEL LOWERY R.PH. (PHARMACIST-IN-CHARGE)
(214) 276-5617
Entity
Organization
Contact information
Practice address
3409 WORTH STREET, SUITE 725, DALLAS, TX 75246
(214) 276-5616
(214) 887-0436
Mailing address
3409 WORTH STREET, SUITE 725, DALLAS, TX 75246
(214) 276-5616
(214) 887-0436
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
25670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25670
STATE LICENSE
TX
01
—
99-1242
NON-RESIDENT
OK
01
—
R0155996
DPS LICENSE
TX
Enumeration date
04/10/2007
Last updated
12/30/2024
Update your record
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