Organization
IDEAL SPECIALTY PHARMACY, LLC
Active
Organization
IDEAL SPECIALTY PHARMACY, LLC
Active
Other names
Professional Pharmacy Plus
Organization subpart
No
Provider details
NPI number
Authorized official
VIN NGUYEN (DIRECTOR)
(972) 809-0984
Entity
Organization
Contact information
Practice address
400 W ARBROOK BLVD STE 111, ARLINGTON, TX 76014-3175
(972) 809-0984
(972) 809-0986
Mailing address
400 W ARBROOK BLVD STE 111, ARLINGTON, TX 76014-3175
(972) 809-0984
(972) 809-0986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31460
STATE LIC
TX
01
—
5921665
NCPDP
TX
Enumeration date
07/10/2017
Last updated
03/07/2023
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