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Organization

PROFESSIONAL PHARMACY II

Active
Other names
PROFESSIONAL PHARMACY II
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA ASHU BSPHARM (OWNER/RPH)
(214) 765-9238
Entity
Organization

Contact information

Practice address
1221 W AIRPORT FWY STE 111, IRVING, TX 75062-6296
(972) 514-1277
(972) 514-1365
Mailing address
2730 N STEMMONS FWY, SUITE 813, DALLAS, TX 75207-2279
(214) 951-0133
(214) 951-0155

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
22459
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145263
TX
01
2098411
PK
Enumeration date
12/13/2006
Last updated
06/23/2015
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