MEDICARE: TEXAS HEALTH PRESCRIPTION SHOP

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	15757	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4590318	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1568565778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH PRESCRIPTION SHOP

Provider Business Mailing Address
First Line	:	6130 W PARKER RD STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7907
Country	:	US
Telephone Number	:	972-981-8445
Fax Number	:	972-981-8562

Provider Business Practice Location Address
First Line	:	6130 WEST PARKER ROAD
Second Line	:	STE 100
City	:	PLANO
State	:	TX
Zip	:	75093-7939
Country	:	US
Telephone Number	:	972-981-8445
Fax Number	:	972-981-8562

Authorized Official
Title or Position	:	MANAGER
Name	:	PAMELA CREWS
Credential	:	RPH
Telephone Number	:	972-981-8445

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	05/18/2026

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Directions to “TEXAS HEALTH PRESCRIPTION SHOP ” Practice Location

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