Organization
BRANDY PHARMACY CORP
Active
Other names
Brandy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEDAL NASER (PRESIDENT)
(972) 992-8205
Entity
Organization
Contact information
Practice address
2241 PEGGY LN STE B, GARLAND, TX 75042-5709
(972) 272-6300
(972) 272-6311
Mailing address
PO BOX 851766, MESQUITE, TX 75185-1766
(214) 707-9971
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354441301
—
TX
Enumeration date
09/29/2015
Last updated
02/13/2020
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