Provider Demographics
NPI:1922471960
Name:TRIPURA INC
Entity Type:Organization
Organization Name:TRIPURA INC
Other - Org Name:PHARMA PLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PRAFUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-557-3900
Mailing Address - Street 1:5881 VIRGINIA PKWY
Mailing Address - Street 2:SUITE # 400
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5640
Mailing Address - Country:US
Mailing Address - Phone:214-585-4600
Mailing Address - Fax:214-585-4602
Practice Address - Street 1:5881 VIRGINIA PKWY STE 400
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5402
Practice Address - Country:US
Practice Address - Phone:214-585-4600
Practice Address - Fax:214-585-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX302663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155142OtherPK