Organization
CLARKSVILLE PHARMACY LLC
Active
Other names
Clarksville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACHENDER REDDY KANDADI PHD (OFFICER)
(307) 399-3786
Entity
Organization
Contact information
Practice address
1312 W MAIN ST, CLARKSVILLE, TX 75426-3525
(903) 706-5065
Mailing address
3310 LAMAR AVE STE B, PARIS, TX 75460-5024
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32594
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
04/16/2019
Last updated
04/16/2019
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