Organization
ACTIVMEDICAL DENTON INC
Active
Other names
LITTLE ELM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRENNAN RPH (PIC)
(972) 294-2877
Entity
Organization
Contact information
Practice address
800 W ELDORADO PKWY, STE 100, LITTLE ELM, TX 75068-5088
(972) 294-2877
(972) 294-2870
Mailing address
800 W ELDORADO PKWY, STE 100, LITTLE ELM, TX 75068-5088
(972) 294-2877
(972) 294-2870
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098817
PK
—
Enumeration date
06/22/2006
Last updated
11/10/2016
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