Nugenerex Ptx4 LLC

NPI #1639646003 in Denton, Texas

Provider Information

NPI Number
1639646003
Entity Type
Organization
Organization Name
Nugenerex Ptx4 LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 24, 2018
Last Updated
Oct 24, 2018

Practice Location

Address
2436 S INTERSTATE 35 E STE 360
City
Denton
State
Texas
ZIP Code
76205-4900
Phone
(214) 903-4830

Authorized Official

Name
ANTHONY CRISCI
Title
OFFICER
Phone
(914) 527-1183

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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