Healthcare Provider Details

I. General information

NPI: 1831263367
Provider Name (Legal Business Name): DRUG CRAFTERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 10/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5680 FRISCO SQUARE BLVD STE 1100
FRISCO TX
75034-3308
US

IV. Provider business mailing address

5680 FRISCO SQUARE BLVD SUITE 1100
FRISCO TX
75034-3308
US

V. Phone/Fax

Practice location:
  • Phone: 214-618-3511
  • Fax: 214-618-3539
Mailing address:
  • Phone: 214-618-3511
  • Fax: 214-618-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number25301
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIRK PETERSON
Title or Position: VP OF OPERATIONS
Credential:
Phone: 214-618-3511