Organization
CLARKSVILLE PHARMACY LLC
Active
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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