Organization
LUPARELLOS CORNER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIPUL K PATEL (OFFICER)
(281) 593-3800
Entity
Organization
Contact information
Practice address
3570 FANNETT RD, BEAUMONT, TX 77705-1365
(409) 842-3222
(409) 842-4877
Mailing address
111 S WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4541
(281) 593-3800
(281) 593-2928
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03143
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140334
—
TX
01
—
2093576
PK
—
Enumeration date
10/11/2006
Last updated
11/28/2017
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