Organization
TEXOMA PHARMACY LLC
Active
Other names
Texoma Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIVARMA DASARRAJU (MANAGING MEMBER)
(608) 556-3925
Entity
Organization
Contact information
Practice address
140 W LAMBERTH RD STE A, SHERMAN, TX 75092-2670
(903) 771-4995
(903) 771-4727
Mailing address
6505 DOONBEG DR, FRISCO, TX 75035-0383
(832) 439-5325
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
03/02/2020
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