Organization
CARE PHARMA
Active
Other names
Wilson County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAVANI BODDAPATI (OWNER)
(312) 315-2529
Entity
Organization
Contact information
Practice address
495 10TH ST # 106, FLORESVILLE, TX 78114-3162
(830) 542-6500
Mailing address
3281 WHITE SPRUCE DR, FRISCO, TX 75033-7942
(312) 315-2529
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162585
PK
—
Enumeration date
08/17/2016
Last updated
01/18/2017
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