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Melrose Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Mansfield, TX. Organization (NPI-2).

NPI number1124459870
StatusActive
Last updated in NPPESDec 6, 2013

Details

NPI
1124459870
Entity type
Organization (NPI-2)
Legal business name
Melrose Pharmacy LLC
Organization subpart
No
Enumeration date
Dec 6, 2013
Last updated
Dec 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy28907TXYes

Practice location

2860 Highway 157 N Ste 120
Mansfield, TX 76063-8883

Phone 817-453-4444

Mailing address

2860 Highway 157 N Ste 120
Mansfield, TX 76063-8883

Phone 817-453-4444

Authorized official

Teresa B Nguyen
Officer
8174534444

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