Paragon Specialty Pharmacy, LLC
Pharmacy, Community/Retail Pharmacy in Mesquite, TX. Organization (NPI-2).
NPI number1083099485
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1083099485
- Entity type
- Organization (NPI-2)
- Legal business name
- Paragon Specialty Pharmacy, LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2015
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 30072 | TX | Yes |
Practice location
2920 Motley DrSuite 800
Mesquite, TX 75150
Phone 855-355-3552 · Fax 855-355-3554
Mailing address
2920 Motley DrSuite 800
Mesquite, TX 75150
Phone 855-355-3552 · Fax 855-355-3554
Authorized official
Ulfat U Nisa
Officer
8553553552
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