Organization
RISING STAR HOLDINGS LLC
Active
Other names
San Diego Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANDANA KAVURI (OFFICER)
(214) 620-7220
Entity
Organization
Contact information
Practice address
508 E GRAVIS ST, SAN DIEGO, TX 78384-2708
(361) 209-8322
(361) 209-5022
Mailing address
PO BOX 1488, COPPELL, TX 75019-1488
(361) 209-8322
(361) 209-5022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/29/2023
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