Organization
PNV CREATIVE CARE, INC
Active
Other names
Shepherd Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIPUL K PATEL RPH (OFFICER)
(281) 593-3800
Entity
Organization
Contact information
Practice address
11011 HIGHWAY 150, SHEPHERD, TX 77371-2839
(936) 628-2099
(936) 628-2530
Mailing address
111 S WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4541
(281) 593-3800
(281) 593-2928
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150016
—
TX
Enumeration date
04/02/2019
Last updated
10/20/2020
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