Organization
MPS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMTA SHARMA (MANAGING OFFICER)
(908) 565-2984
Entity
Organization
Contact information
Practice address
112 S COLLEGE AVE STE 100, CLEVELAND, TX 77327-4502
(832) 480-5410
(832) 480-5411
Mailing address
112 S COLLEGE AVE STE 100, CLEVELAND, TX 77327-4502
(832) 480-5410
(832) 480-5411
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150157
—
TX
01
—
5927732
NCPDP
—
Enumeration date
05/01/2019
Last updated
07/06/2020
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