Organization
DEVRON SYSTEM INC
Active
Organization
DEVRON SYSTEM INC
Active
Other names
SIMPLE RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LATA NARAWANE (OFFICER)
(817) 612-4802
Entity
Organization
Contact information
Practice address
711 E LAMAR BLVD STE 106, ARLINGTON, TX 76011-3854
(817) 612-4802
(817) 612-4804
Mailing address
711 E LAMAR BLVD STE 106, ARLINGTON, TX 76011-3854
(817) 612-4802
(817) 612-4804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32305
TEXAS STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
10/18/2018
Last updated
04/16/2019
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