Organization
ABC PARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT CHUKWUKELU (PHARMACIST)
(972) 481-1600
Entity
Organization
Contact information
Practice address
12879 JOSEY LN, SUITE 100, FARMERS BRANCH, TX 75234-6336
(972) 481-1600
Mailing address
12879 JOSEY LN, SUITE 100, FARMERS BRANCH, TX 75234-6336
(972) 481-1600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145325
—
TX
Enumeration date
02/09/2007
Last updated
06/13/2008
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