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Organization

TD HEALTHCARE 2 LLC

Active
Other names
Twin Oaks Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L FUNG RPH (MANAGING OFFICER)
(813) 244-9882
Entity
Organization

Contact information

Practice address
3436 34TH ST, LUBBOCK, TX 79410-2830
(806) 799-3636
(806) 795-4622
Mailing address
10113 CHICAGO AVE, LUBBOCK, TX 79424-8254
(813) 244-9882
(806) 783-0883

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
27815
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148536
TX
Enumeration date
08/03/2017
Last updated
08/03/2017
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