Organization
FRISCO PHARMACY LLC
Active
Other names
Frisco Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG CHAU THI TRAN PHARM.D. (PHARMACIST-IN-CHARGE)
(469) 305-7059
Entity
Organization
Contact information
Practice address
14550 SH-121, SUITE 150, FRISCO, TX 75035
(469) 305-7058
(469) 305-7061
Mailing address
14550 SH-121, SUITE 150, FRISCO, TX 75035
(469) 305-7058
(469) 305-7061
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149744
—
TX
01
—
2169450
PK
—
Enumeration date
06/09/2017
Last updated
03/11/2019
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