MEDICARE: NUVISION PHARMARY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336M0002X	Mail Order Pharmacy	27468	TX

General Provider Information

NPI Number	:	1568883924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUVISION PHARMARY, INC.

Provider Business Mailing Address
First Line	:	4001 MCEWEN ROAD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75244-5021
Country	:	US
Telephone Number	:	214-347-4008
Fax Number	:	214-296-0243

Provider Business Practice Location Address
First Line	:	4001 MCEWEN ROAD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75244-5021
Country	:	US
Telephone Number	:	214-347-4008
Fax Number	:	214-296-0243

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ASHLEY MICHELLE SHARP
Credential	:	CPNT
Telephone Number	:	214-347-4008

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

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Directions to “NUVISION PHARMARY, INC. ” Practice Location

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