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150 N Coppell Rd Ste Pharmacy Coppell TX 75019-2293 | |
(972) 371-0067 | |
Not Available |
Full Name | |
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Speciality | Pharmacy |
Location | 150 N Coppell Rd Ste Pharmacy, Coppell, Texas |
Authorized Official Name and Position | Raj Chhadua (MANAGING PARTNER) |
Authorized Official Contact | 2144222598 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2735 Frisco TX 75034-0051 Ph: (214) 422-2598 | 150 N Coppell Rd Ste Pharmacy Coppell TX 75019-2293 Ph: (972) 371-0067 |
NPI Number | 1225708225 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 08/14/2023 |
Medicare PECOS PAC ID | 7416343298 |
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Medicare Enrollment ID | O20220404001094 |
Identifier | Type | State | Issuer |
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1225708225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Primary |
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