Organization
MPN PHARMACY MGT LLC
Active
Other names
Texan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINA SHAH (PRESIDENT)
(732) 318-9628
Entity
Organization
Contact information
Practice address
7201 WYOMING SPRINGS DR STE 300, ROUND ROCK, TX 78681-4311
(512) 296-2633
(512) 296-2731
Mailing address
7201 WYOMING SPRINGS DR STE 300, ROUND ROCK, TX 78681-4311
(512) 296-2633
(512) 296-2731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30976
TX
3336C0003X
Community/Retail Pharmacy
30976
TX
3336C0004X
Compounding Pharmacy
30976
TX
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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