Organization
NORTH TEXAS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRANT (OFFICER)
(972) 876-3214
Entity
Organization
Contact information
Practice address
2741 VIRGINIA PKWY STE 800, MCKINNEY, TX 75071-5027
(972) 876-3214
(972) 876-3214
Mailing address
2741 VIRGINIA PKWY STE 800, MCKINNEY, TX 75071-5027
(972) 876-3214
(972) 876-3214
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33857
STATE BOARD LICENSE NUMBER
TX
Enumeration date
07/06/2021
Last updated
07/06/2021
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