Provider Demographics
NPI:1376119925
Name:TEXAS HEALTH PHARMACY LLC
Entity Type:Organization
Organization Name:TEXAS HEALTH PHARMACY LLC
Other - Org Name:TEXAS HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NAGALAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANUMOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-781-2753
Mailing Address - Street 1:14754 STORY LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1235
Mailing Address - Country:US
Mailing Address - Phone:305-781-2454
Mailing Address - Fax:
Practice Address - Street 1:5350 INDEPENDENCE PKWY # 110A
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4652
Practice Address - Country:US
Practice Address - Phone:903-771-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy