Organization
UPTOWN SPECIALTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFAM NWANGWU PHARM D (OWNER)
(817) 899-5520
Entity
Organization
Contact information
Practice address
131 DEGAN AVE STE 103D, LEWISVILLE, TX 75057-3664
(214) 989-3629
(972) 947-5294
Mailing address
131 DEGAN AVE STE 103D, LEWISVILLE, TX 75057-3664
(214) 989-3629
(972) 947-5294
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36202
TEXAS STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
06/25/2026
Last updated
06/25/2026
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