Organization
FC PHARMACY LLC
Active
Other names
Wylie Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CUONG NGUYEN PHARMD (MANAGER)
(972) 432-7311
Entity
Organization
Contact information
Practice address
430 S HIGHWAY 78 STE 160, WYLIE, TX 75098-3974
(972) 432-7311
Mailing address
600 S SHERMAN ST STE 106, RICHARDSON, TX 75081-4014
(972) 432-7311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
29067
TX
3336C0003X
Community/Retail Pharmacy
29067
TX
3336C0004X
Compounding Pharmacy
29067
TX
Other
Enumeration date
11/02/2017
Last updated
11/03/2017
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