Organization
JSW PROSPERITY, LLC
Active
Other names
1 Stop Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLE BUZZETTA (MANAGER)
(832) 471-6891
Entity
Organization
Contact information
Practice address
17310 W GRAND PKWY S STE Z, SUGAR LAND, TX 77479-2586
(832) 471-6891
(888) 315-3840
Mailing address
17310 W GRAND PKWY S STE Z, SUGAR LAND, TX 77479-2586
(832) 471-6891
(888) 315-3840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29425
TEXAS BOARD OF PHARMACY
TX
Enumeration date
08/20/2014
Last updated
07/21/2022
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