Organization
PC NUTRITIONAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 930-8122
Entity
Organization
Contact information
Practice address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 931-3801
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 931-3801
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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