Organization
NEXGEN PHARMACEUTICALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUSSIN (OFFICER)
(817) 678-8143
Entity
Organization
Contact information
Practice address
2005 FORT WORTH HWY STE 100, WEATHERFORD, TX 76086-4780
(817) 599-7781
Mailing address
2005 FORT WORTH HWY STE 100, WEATHERFORD, TX 76086-4780
(817) 599-7781
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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