Organization
LIFECHEK RX GROUP LLC
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCMILLAN (OWNER)
(832) 948-1012
Entity
Organization
Contact information
Practice address
1490 RESEARCH FOREST DR, SHENANDOAH, TX 77381-4370
(832) 948-1012
(832) 948-1019
Mailing address
1490 RESEARCH FOREST DR, SHENANDOAH, TX 77381-4370
(832) 948-1012
(832) 948-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131948
PK
—
05
—
466795
—
TX
Enumeration date
11/08/2011
Last updated
11/18/2015
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