Organization
THE MEDICAL CENTER PHARMACY LTD CO
Active
Other names
DBA Skyline Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINH NGUYEN (MANAGER)
(832) 643-1113
Entity
Organization
Contact information
Practice address
16051 ADDISON RD #305, ADDISON, TX 75001
(972) 290-1126
(214) 602-7453
Mailing address
16051 ADDISON RD #305, ADDISON, TX 75001
(972) 290-1126
(214) 602-7453
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150174
PK
—
Enumeration date
03/25/2015
Last updated
07/25/2016
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