Ross Avenue Pharmacy Llc.

NPI 1174934129 - Pharmacy - 333600000X

NPI Details
NPI 1174934129
Enumeration Date 05/13/2014
Last Updated 10/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TAE HOON TAE HOON
Position PHARMACIST IN CHARGE
Phone (972) 833-7999
Fax (972) 755-4192
Practice Location
5101 ROSS AVE
SUITE # 100
DALLAS TX, 75206-7762, US
Phone (972) 833-7999
Fax (972) 755-4192
Business Location
5101 ROSS AVENUE RD
SUITE # 100
DALLAS TX, 75206-7762, US
Phone (972) 833-7999
Fax (972) 755-4192
Toxanomy
Taxonomy Code 333600000X
License State Texas
License Number 29202
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According to our database, Ross Avenue Pharmacy Llc. NPI is 1174934129, taxonomy code is 333600000X and license number is 29202, license state is located at Texas. Ross Avenue Pharmacy Llc. physically located at 5101 Ross Ave, Dallas TX, 75206-7762. NPI Number 1033115704 has the healthcare provider type.

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1174934129 NPI number is provided on an as is basis without warranty of any kind. 1174934129 is maintained by the National Plan & Provider Enumeration System. The contents of Ross Avenue Pharmacy Llc. are for informational purposes only.