Organization
A & P PHARMACY, INC
Active
Other names
ROANOKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVALLIKA KALI (OFFICER)
(817) 431-3110
Entity
Organization
Contact information
Practice address
207 E BYRON NELSON BLVD, ROANOKE, TX 76262
(817) 431-3110
(817) 491-1358
Mailing address
207 E BYRON NELSON BLVD, ROANOKE, TX 76262
(817) 431-3110
(817) 491-1358
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14493
—
TX
05
—
148927
—
TX
01
—
2103448
PK
—
Enumeration date
07/31/2006
Last updated
05/19/2022
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