Organization
MEDART PHARMACY LLC
Active
Other names
JUSTIN FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KETANKUMAR PATEL RPH (OWNER, PIC)
(940) 648-2222
Entity
Organization
Contact information
Practice address
120 W 4TH ST, JUSTIN, TX 76247-5014
(940) 648-2222
(940) 648-2542
Mailing address
120 W 4TH ST, JUSTIN, TX 76247-5014
(940) 648-2222
(940) 648-2542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146633
—
TX
01
—
2135624
PK
—
Enumeration date
12/20/2006
Last updated
10/13/2021
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