Organization · NPI-2

Aa Pharmacy LLC

Pharmacy · Dallas, TX

NPI number1386034338
StatusActive
Last updated in NPPESAug 31, 2016

Details

NPI
1386034338
Entity type
Organization (NPI-2)
Legal business name
Aa Pharmacy LLC
Organization subpart
No
Enumeration date
Jan 29, 2015
Last updated
Aug 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy33278TXYes

Other names

  • Aa Pharmacy (Doing Business As)

Practice location

17826 Davenport Rd Ste B
Dallas, TX 75252-5876

Phone 469-351-3462 · Fax 469-565-2220

Mailing address

17826 Davenport Rd Ste B
Dallas, TX 75252-5876

Phone 469-351-3462 · Fax 469-565-2220

Authorized official

Amos Momanyi Abuga
Pharmacy Director
2144766289

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