Organization
PATMOS CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MULVANY (OWNER / PIC)
(469) 487-4045
Entity
Organization
Contact information
Practice address
5445 LA SIERRA DR STE 202, DALLAS, TX 75231-4176
(469) 267-7762
Mailing address
1432 GRAPEVINE CREEK DR, COPPELL, TX 75019-3698
(469) 487-4045
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166016
PK
—
Enumeration date
01/23/2017
Last updated
03/06/2018
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