Organization
PARC PLAZA PHARMACY INC
Active
Other names
US PHARMACY OF DALLAS
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS KINYUY NTARYIKE RPH (PRESIDENT/ PHARMACIST-IN-CHARGE)
(214) 228-6987
Entity
Organization
Contact information
Practice address
4801 S BUCKNER BLVD, 100, DALLAS, TX 75227-2373
(214) 228-6987
(214) 228-6987
Mailing address
4801 S BUCKNER BLVD,, 100, DALLAS,, TX 75227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PENDING
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PHARMACY LICENSE NUMBER
TX
05
—
PENDING
—
TX
Enumeration date
12/24/2007
Last updated
12/24/2007
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