Organization
PALMER PHARMACY PLUS INC
Active
Other names
Palmer Pharmacy Plus DME
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA AYAMBA ASHU PHARMACIST (PHARMACIST IN CHARGE)
(214) 765-9238
Entity
Organization
Contact information
Practice address
2731 W NORTHWEST HIGHWAY, SUITE 105, DALLAS, TX 75220
(214) 765-9238
(214) 765-9240
Mailing address
2731 W NORTHWEST HIGHWAY, SUITE 105, DALLAS, TX 75220
(214) 765-9238
(214) 765-9240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23019
TX
3336C0003X
Community/Retail Pharmacy
Primary
23019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146025501
—
TX
05
—
146025502
—
TX
05
—
146025503
—
TX
Enumeration date
05/15/2007
Last updated
01/28/2016
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