Organization
RISING STAR HOLDINGS LLC
Active
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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