Organization
PRESTON ROAD APOTHECARY INC
Active
Organization
PRESTON ROAD APOTHECARY INC
Active
Other names
PRESTON ROAD APOTHECARY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LIPE (PRESIDENT)
(214) 521-9991
Entity
Organization
Contact information
Practice address
9301 N CENTRAL EXPY, STE 110, DALLAS, TX 75231-0806
(214) 361-6172
(241) 381-5354
Mailing address
6901 PRESTON RD, DALLAS, TX 75205-1136
(214) 521-9991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099365
PK
—
Enumeration date
08/14/2006
Last updated
10/08/2020
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