=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407869878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEU PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 527 BRYAN ST
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-566-3101
-----------------------------------------------------
Fax | 940-566-6790
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 527 BRYAN ST
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-566-3101
-----------------------------------------------------
Fax | 940-566-6790
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST/OWNER
-----------------------------------------------------
Name | MR. WILLIAM N NEU
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 940-566-3101
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 13080
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------