Healthcare Provider Details

I. General information

NPI: 1407287188
Provider Name (Legal Business Name): SALFITI KRUM PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2013
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E MCCART ST SUITE C
KRUM TX
76249-5634
US

IV. Provider business mailing address

820 E MCCART ST SUITE C
KRUM TX
76249-5634
US

V. Phone/Fax

Practice location:
  • Phone: 940-482-1972
  • Fax: 940-482-1974
Mailing address:
  • Phone: 940-482-1972
  • Fax: 940-482-1974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28806
License Number StateTX

VIII. Authorized Official

Name: RAJA SALFITI
Title or Position: OWNER
Credential:
Phone: 940-627-5400