Organization
AYDIL RX SERVICES, LLC
Active
Other names
Medicine Shoppe LTC
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL BHAKTA RPH (MANAGING MEMBER)
(903) 455-7200
Entity
Organization
Contact information
Practice address
3001 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7714
(903) 455-7200
(903) 455-7300
Mailing address
1440 GARDENIA ST, IRVING, TX 75063-4232
(972) 839-0724
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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