Organization
MESQUITE PHARMACY RX LLC
Active
Other names
Mesquite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEMA PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
1320 NORTH GALLOWAY AVE, SUITE 102, MESQUITE, TX 75149
(972) 285-1761
(972) 285-1799
Mailing address
1320 NORTH GALLOWAY AVE, SUITE 102, MESQUITE, TX 75149
(972) 285-1761
(972) 285-1799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149308
—
TX
01
—
2159747
PK
—
Enumeration date
04/27/2016
Last updated
05/25/2023
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