Organization
NULIFE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGADEESH JANJANAM (AUTHORIZED OFFICIAL)
(817) 769-7941
Entity
Organization
Contact information
Practice address
14150 TRINITY BLVD STE 750, FORT WORTH, TX 76155-2597
(817) 769-7941
(817) 769-8332
Mailing address
14150 TRINITY BLVD STE 750, FORT WORTH, TX 76155-2597
(817) 769-7941
(817) 769-8332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
10/31/2019
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