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Organization

TEKISHA DUNMORE

Active
Other names
Savannah Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
TEKISHA ROSE (OWNER)
(281) 710-4451
Entity
Organization

Contact information

Practice address
15028 HIGHWAY 6, ROSHARON, TX 77583-3261
(281) 710-4451
(281) 710-4452
Mailing address
15028 HIGHWAY 6, ROSHARON, TX 77583-3261
(281) 710-4451
(281) 710-4452

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5905697
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
04/17/2012
Last updated
05/14/2012
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