Organization
PERSONAL PHARMACY CONSULTANTS, LLC
Active
Other names
Jackrabbit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CLEMENS RPH (OWNER)
(972) 564-9000
Entity
Organization
Contact information
Practice address
420 PINSON RD, FORNEY, TX 75126-9766
(972) 564-9000
(972) 564-9018
Mailing address
420 PINSON RD, FORNEY, TX 75126-9766
(972) 564-9000
(972) 564-9018
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532570
NCPDP
TX
Enumeration date
04/03/2007
Last updated
08/22/2020
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