Health Source Pharmacy Inc

NPI 1417201690 - Pharmacy - 3336C0003X

NPI Details
NPI 1417201690
Enumeration Date 11/09/2012
Last Updated 08/27/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DINESH DINESH
Position PRESIDENT / PIC
Phone (903) 893-1700
Fax (903) 893-1702
Practice Location
1733 TEXOMA PKWY STE 200
SHERMAN TX, 75090-2613, US
Phone (903) 893-1700
Fax (903) 893-1702
Business Location
1733 TEXOMA PKWY STE 200
SHERMAN TX, 75090-2613, US
Phone (903) 893-1700
Fax (903) 893-1702
Toxanomy
Taxonomy Code 3336C0003X
License State Texas
License Number 28411
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According to our database, Health Source Pharmacy Inc NPI is 1417201690, taxonomy code is 3336C0003X and license number is 28411, license state is located at Texas. Health Source Pharmacy Inc physically located at 1733 Texoma Pkwy Ste 200, Sherman TX, 75090-2613. NPI Number 1033115704 has the healthcare provider type.

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1417201690 NPI number is provided on an as is basis without warranty of any kind. 1417201690 is maintained by the National Plan & Provider Enumeration System. The contents of Health Source Pharmacy Inc are for informational purposes only.