Organization
MAPLEWOOD PHARMACY
Active
Other names
Maplewood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURYN CYRUS PHARMD, MBA (PIC)
(844) 627-9663
Entity
Organization
Contact information
Practice address
2515 INWOOD RD STE 107, DALLAS, TX 75235-7400
(844) 627-9663
(469) 629-7757
Mailing address
2515 INWOOD RD, STE 107, DALLAS, TX 75235-7434
(844) 627-9663
(469) 629-7757
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
29931
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148520
—
TX
01
—
2151589
PK
—
Enumeration date
04/28/2015
Last updated
01/18/2017
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