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Organization

PHARMACY CARE USA OF ADDISON, LLC

Active
Other names
Pharmacy Care USA of Addison, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KENT ABBOTT (MANAGER)
(405) 663-4111
Entity
Organization

Contact information

Practice address
4500 RATLIFF LN STE 102, ADDISON, TX 75001-3272
(972) 388-1800
(972) 388-1806
Mailing address
PO BOX 130, HYDRO, OK 73048-0130
(405) 663-4111
(405) 663-4114

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28672
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2141695
PK
Enumeration date
08/29/2013
Last updated
08/29/2013
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