Organization
CENTRO PEDIATRIC PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON DANG (PIC)
(817) 369-8988
Entity
Organization
Contact information
Practice address
7200 GLENVIEW DR STE 1, RICHLAND HILLS, TX 76180-7612
(817) 369-8988
(817) 369-8991
Mailing address
7200 GLENVIEW DR STE 1, RICHLAND HILLS, TX 76180-7612
(817) 537-2899
(817) 977-9099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26940
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162498
PK
—
Enumeration date
06/02/2010
Last updated
10/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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