Organization
CHB PHARMACY
Active
Organization
CHB PHARMACY
Active
Other names
CHB Pharmacy Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKE C EGBUCHUNAM PHARMD (PHARMACY DIRECTOR)
(972) 661-1293
Entity
Organization
Contact information
Practice address
14211 COIT RD, DALLAS, TX 75254-2862
(972) 661-1293
(972) 661-1298
Mailing address
14211 COIT RD, DALLAS, TX 75254-2862
(972) 661-1293
(972) 661-1298
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29590
PHARMACY LICENSE
TX
Enumeration date
10/15/2014
Last updated
12/31/2015
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