Organization
FIRST LONE STAR PHARMACY GROUP III LLC
Active
Organization
FIRST LONE STAR PHARMACY GROUP III LLC
Active
Other names
JOSHUA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LIPE (MANAGING PARTNER)
(214) 521-9991
Entity
Organization
Contact information
Practice address
504 N BROADWAY ST, JOSHUA, TX 76058-3414
(817) 295-8531
(817) 295-3836
Mailing address
6901 PRESTON RD, DALLAS, TX 75205-1136
(214) 521-9991
(214) 521-1649
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143729
—
TX
01
—
2138449
PK
—
Enumeration date
02/06/2007
Last updated
03/07/2017
Update your record
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