Burleson Pharmacy LLC

NPI #1700419769 in Burleson, Texas

Provider Information

NPI Number: 1700419769
Entity Type: Organization
Organization Name: Burleson Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 344 SW WILSHIRE BLVD STE P
City: Burleson
State: Texas
ZIP Code: 76028-5343
Phone: (817) 720-5555

Authorized Official

Name: MAHATHI KANKANALA, PHARM D
Title: PHARMACY MANAGER
Phone: (817) 720-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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