Organization
PROFESSIONAL PHARMACY ENTERPRISES OF LANCASTER INC.
Active
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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