Healthcare Provider Details

I. General information

NPI: 1710669759
Provider Name (Legal Business Name): HAMPTON APOTHECARY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 S HAMPTON RD STE 100
DALLAS TX
75224-2368
US

IV. Provider business mailing address

PO BOX 2735
FRISCO TX
75034-0051
US

V. Phone/Fax

Practice location:
  • Phone: 972-707-8248
  • Fax: 972-707-8249
Mailing address:
  • Phone: 972-707-8248
  • Fax: 972-707-8249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAJ MILAN CHHADUA
Title or Position: MANAGING PARTNER/OWNER
Credential: PHARMD
Phone: 469-294-2001