Organization
MD PHARMACUETICALS LLC
Active
Parent organization
MD PHARMACUETICALS LLC
Other names
Italy Family Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD PHARMACUETICALS LLC
Authorized official
MR. MARTIN DENNIS R.PH (PRESIDENT)
(972) 822-3615
Entity
Organization
Contact information
Practice address
204 E MAIN ST, ITALY, TX 76651-3517
(972) 483-7667
(972) 483-7670
Mailing address
502 S OLD ORCHARD LN, SUITE 128, LEWISVILLE, TX 75067-4370
(972) 906-0067
(972) 906-9084
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26871
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
05/03/2010
Last updated
04/09/2012
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