Organization
RXJVS PRO
Active
Other names
PRO HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEFANI DELGADO (OWNER)
(469) 931-2253
Entity
Organization
Contact information
Practice address
5804 COIT RD STE 100, PLANO, TX 75023-5955
(469) 931-2253
(469) 931-2246
Mailing address
201 CALLOWAY ST STE A, WYLIE, TX 75098-4206
(469) 931-2253
(469) 931-2246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
32015
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177807
PK
—
Enumeration date
05/01/2018
Last updated
10/07/2019
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