Organization
ADDIS PHARMACY INC
Active
Other names
Addis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NOON HAMID (OWNER)
(940) 382-0079
Entity
Organization
Contact information
Practice address
3305 S MAYHILL ROAD, SUITE 101, DENTON, TX 76208
(940) 382-0079
(940) 382-0002
Mailing address
3305 S MAYHILL ROAD, SUITE 101, DENTON, TX 76208
(940) 382-0079
(940) 382-0002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146544
—
TX
01
—
5905229
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2010
Last updated
04/28/2023
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