Organization
PROFESSIONAL PHARMACY ENTERPRISES OF LANCASTER INC.
Active
Other names
Midway Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL PETERS (PRESIDENT)
(972) 223-2623
Entity
Organization
Contact information
Practice address
2700 W PLEASANT RUN RD STE 250, LANCASTER, TX 75146-1004
(972) 223-2623
(972) 230-0923
Mailing address
2700 W PLEASANT RUN RD STE 250, LANCASTER, TX 75146-1004
(972) 223-2623
(972) 230-0923
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142473
—
TX
Enumeration date
10/04/2006
Last updated
08/22/2020
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