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Organization

TXPHARMACISTS LLC

Active
Other names
FATE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARI KRISHNA CHINTAPALLI RPH (PIC)
(305) 781-2454
Entity
Organization

Contact information

Practice address
3600 CONFLANS RD # 210, IRVING, TX 75061-6324
(469) 340-4030
Mailing address
14754 STORY LN, FRISCO, TX 75035-1235
(305) 781-2454

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31892
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149757
TX
Enumeration date
03/07/2018
Last updated
02/02/2021
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