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Organization

ICARERX PHARMACY LLC

Active
Other names
Saginaw Care Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SRAVANTHI VENNA (OWNER)
(682) 200-1080
Entity
Organization

Contact information

Practice address
200 WJ BOAZ RD STE 100, SAGINAW, TX 76179-1290
(682) 200-1080
(682) 708-3752
Mailing address
117 MAIN ST, STE A, LINDSAY, TX 76250

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32381
TEXAS BOARD OF PHARMACY
TX
Enumeration date
12/16/2018
Last updated
08/23/2019
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