Powerhouse Pharmacy Rx LLC
Clinic/Center in Dallas, TX. Organization (NPI-2).
NPI number1982104378
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1982104378
- Entity type
- Organization (NPI-2)
- Legal business name
- Powerhouse Pharmacy Rx LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2018
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | TX | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Practice location
4740 W Mockingbird Ln Ste 100bDallas, TX 75209-5208
Phone 214-350-2900 · Fax 214-350-2904
Mailing address
4740 W Mockingbird Ln Ste 100bDallas, TX 75209-5208
Phone 214-350-2900 · Fax 214-350-2904
Authorized official
Kumudben Shahiwala
Owner
6148860786
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