Organization
COIF-SOE INC
Active
Other names
morning star pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA AMADI (PRESIDENT)
(972) 291-2525
Entity
Organization
Contact information
Practice address
329 N HIGHWAY 67 STE 150, CEDAR HILL, TX 75104-2187
(972) 291-2525
(972) 291-2524
Mailing address
329 N HIGHWAY 67 STE 150, CEDAR HILL, TX 75104-2187
(972) 291-2525
(972) 291-2524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28048
TX
3336C0003X
Community/Retail Pharmacy
Primary
28048
TX
3336C0004X
Compounding Pharmacy
28048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28048
PHARMACY LICENSE NUMBER
TX
Enumeration date
05/16/2012
Last updated
05/18/2012
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