Organization
SHOTS ON SITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW K CUMMINGS RPH (OWNER)
(972) 840-0001
Entity
Organization
Contact information
Practice address
3671 BROADWAY BLVD STE 400, GARLAND, TX 75043-1686
(972) 840-0001
Mailing address
3671 BROADWAY BLVD STE 400, GARLAND, TX 75043-1686
(972) 840-0001
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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