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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