Organization
LENEXA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC BOGONKO (OFFICER)
(972) 423-0135
Entity
Organization
Contact information
Practice address
412 VILLAGE DR STE 100A, MURPHY, TX 75094-4631
(972) 423-0135
(972) 767-5048
Mailing address
7209 NORTHERN LIGHTS CT, PLANO, TX 75074-8990
(281) 250-4134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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