Organization
VILLAGE LANE APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLI DRU HOLT RPH (PIC)
(817) 717-2000
Entity
Organization
Contact information
Practice address
60 VILLAGE LN, SUITE 130, COLLEYVILLE, TX 76034
(817) 717-2000
(817) 717-8424
Mailing address
60 VILLAGE LN, COLLEYVILLE, TX 76034
(817) 717-2000
(817) 717-8424
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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