Organization
URBAN REXALL, LLC
Active
Other names
Urban Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CLEMENS RPH (OWNER)
(972) 564-9000
Entity
Organization
Contact information
Practice address
7517 MILITARY PKWY, DALLAS, TX 75227-3950
(214) 381-1179
(214) 381-1237
Mailing address
7517 MILITARY PKWY, DALLAS, TX 75227-3950
(214) 381-1179
(214) 381-1237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
21568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4509963
NCPDP
TX
Enumeration date
04/03/2007
Last updated
08/22/2020
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