Organization
MAHADEV RX LLC
Active
Other names
Jourdanton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NARENDER BANGLA (MANAGER)
(830) 770-0770
Entity
Organization
Contact information
Practice address
1810 HIGHWAY 97 E, JOURDANTON, TX 78026-1521
(830) 770-0770
(830) 770-0973
Mailing address
PO BOX 189, JOURDANTON, TX 78026-0189
(830) 770-0770
(830) 770-0973
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
29137
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148086
—
TX
Enumeration date
04/11/2014
Last updated
08/03/2021
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