Healthcare Provider Details

I. General information

NPI: 1275576530
Provider Name (Legal Business Name): NEW ERA PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9709 BRUTON RD STE 900
DALLAS TX
75217-2704
US

IV. Provider business mailing address

PO BOX 271120
FLOWER MOUND TX
75027-1120
US

V. Phone/Fax

Practice location:
  • Phone: 214-942-7300
  • Fax: 214-942-7302
Mailing address:
  • Phone: 214-942-7300
  • Fax: 214-942-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number24378
License Number StateTX

VIII. Authorized Official

Name: PHILIP BIENI
Title or Position: PIC,MEMBER,AO
Credential: RPH
Phone: 972-342-4885