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NPI Code Detail

MEDICARE: NOVEL APOTHECARY

MEDICARE: NOVEL APOTHECARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy24408TX
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14540046OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1033151485
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVEL APOTHECARY
Provider Business Mailing Address
First Line : 4909 W PARK BLVD
Second Line :
City : PLANO
State : TX
Zip : 75093-2311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4909 W PARK BLVD
Second Line :
City : PLANO
State : TX
Zip : 75093-2311
Country : US
Telephone Number : 972-599-7700
Fax Number : 972-395-6432
Authorized Official
Title or Position : OWNER
Name : PAYAL PATEL
Credential : PHARMD
Telephone Number : 972-599-7700
Provider Enumeration Date : 06/11/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

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Practice Location Address:
4909 W PARK BLVD , SUITE 135
PLANO, TX
75093-2311
Practice Phone: 972-985-7916
Practice Fax:
1972643625 — DR. PETER S. CHAO O.D.
Practice Location Address:
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1851594642 — MISS LYNN DUONG L. AC.
Practice Location Address:
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1396936977 — ABRAMS ROYAL PHARMACY II
Practice Location Address:
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1801076153 — SUSAN BLESSMAN MILLER R.N., M.S., F.N.P.C.
Practice Location Address:
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1205070372 — DR. DIANA L OQUINN DDS
Practice Location Address:
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Directions to “NOVEL APOTHECARY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.