Organization
SALUD PHARMACY #2 LLC
Active
Other names
salud pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND AMAECHI (OWNER)
(214) 476-6323
Entity
Organization
Contact information
Practice address
912 W 12TH ST, DALLAS, TX 75208-6005
(214) 946-3886
(214) 946-3885
Mailing address
7310 CEDARBROOK RD, ROWLETT, TX 75089-7495
(214) 476-6323
(888) 778-0421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27128
STATE BOARD LICENSE
TX
Enumeration date
09/21/2010
Last updated
09/21/2010
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