Organization
CENTRO PEDIATRIC PHARMACY LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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