Organization
PURE PHARMACY
Active
Other names
Pure Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOKY CHEUNG (MANAGER)
(512) 572-1011
Entity
Organization
Contact information
Practice address
1927 LOHMANS CROSSING RD STE 203, LAKEWAY, TX 78734
(512) 572-1011
(512) 572-1021
Mailing address
PO BOX 674172, DALLAS, TX 75267-4172
(512) 572-1011
(512) 572-1021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165798
PK
—
Enumeration date
12/21/2016
Last updated
08/02/2018
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