Wylie Pharmacy LLC

NPI #1225479819 in Wylie, Texas

Provider Information

NPI Number
1225479819
Entity Type
Organization
Organization Name
Wylie Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 11, 2013
Last Updated
Jan 14, 2014

Practice Location

Address
430 S HIGHWAY 78 STE 160
City
Wylie
State
Texas
ZIP Code
75098-3974
Phone
(972) 429-9594

Authorized Official

Name
SRIKRISHNA BOPPANA
Title
PIC
Phone
(972) 429-9594

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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