Organization
PRIME HEALTHCARE SERVICES MESQUITE LLC
Active
Other names
Dallas Regional Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
1011 N GALLOWAY AVE # CL120, MESQUITE, TX 75149-2433
(214) 320-7040
Mailing address
1011 N GALLOWAY AVE # CL120, MESQUITE, TX 75149-2433
(214) 320-7040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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