MEDICARE: AN&U INC

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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1093462004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AN&U INC

Provider Business Mailing Address
First Line	:	1729 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-5832
Country	:	US
Telephone Number	:	903-284-6256
Fax Number	:	903-284-6243

Provider Business Practice Location Address
First Line	:	1729 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-5832
Country	:	US
Telephone Number	:	903-284-6256
Fax Number	:	903-284-6243

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	RAVISH NITINKUMAR SHAH
Credential	:
Telephone Number	:	903-284-6256

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/16/2022

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Directions to “AN&U INC ” Practice Location

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