Organization
SERENITY INFUSION SUITES & COMPOUNDING RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAJUAN M SIMPSON (MANAGER)
(469) 263-4549
Entity
Organization
Contact information
Practice address
8625 KING GEORGE DR, SUITE 300, DALLAS, TX 75235-2215
(469) 263-4549
Mailing address
8625 KING GEORGE DR, SUITE 300, DALLAS, TX 75235-2215
(469) 263-4549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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