Organization
HEALING WONDERS LLC
Active
Other names
JOE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARI KRISHNA CHINTAPALLI RPH (OFFICER)
(305) 781-2454
Entity
Organization
Contact information
Practice address
1609 LIVE OAK ST, COMMERCE, TX 75428-2549
(903) 820-8200
(888) 965-9306
Mailing address
14754 STORY LN, FRISCO, TX 75035-1235
(305) 781-2454
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149909
—
TX
Enumeration date
10/05/2018
Last updated
09/13/2021
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