Organization
RENAISSANCE RX, LLC
Active
Other names
Renaissance Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAYWOOD (MANAGER)
(510) 610-3483
Entity
Organization
Contact information
Practice address
1908 CENTRAL DR STE C, BEDFORD, TX 76021-5822
(817) 864-1865
Mailing address
1908 CENTRAL DR STE C, BEDFORD, TX 76021-5822
(817) 864-1865
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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