MEDICARE: ABRAMS ROYAL PHARMACY II

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	3336C0003X	Community/Retail Pharmacy	25528	TX

General Provider Information

NPI Number	:	1396936977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRAMS ROYAL PHARMACY II

Provider Business Mailing Address
First Line	:	4909 W PARK BLVD STE 177
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-2311
Country	:	US
Telephone Number	:	972-599-7700
Fax Number	:	972-596-8950

Provider Business Practice Location Address
First Line	:	4909 W PARK BLVD STE 177
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-2311
Country	:	US
Telephone Number	:	972-599-7700
Fax Number	:	972-596-8950

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MRS. LARK SWOFFORD
Credential	:	RPH
Telephone Number	:	972-599-7700

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	03/03/2011

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