Organization
CHAPPELLE FIRM
Active
Other names
Phil's Pharmacy & Herbal Supplements
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA CHAPPELL R.PH (OWNER)
(904) 923-2789
Entity
Organization
Contact information
Practice address
117 E MAIN ST, FORNEY, TX 75126-4136
(469) 602-5078
(469) 602-5028
Mailing address
5100 WHILTMORE DR, FORNEY, TX 75126-4151
(469) 602-5078
(469) 602-5028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34460
PHARMACY LICENSE
TX
Enumeration date
09/30/2022
Last updated
02/21/2023
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