Organization
BWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRICE NGARUIYA PHARM.D. (PHARMACY MANAGER)
(214) 909-4748
Entity
Organization
Contact information
Practice address
2741 E BELT LINE RD STE 106, CARROLLTON, TX 75006-5438
(214) 483-1065
(469) 289-4438
Mailing address
8600 TRAILLAZER DRIVE, CROSSROADS, TX 76227-5438
(214) 483-1065
(469) 289-4438
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34549
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
12/21/2022
Last updated
10/24/2023
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