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NPI Code Detail

MEDICARE: CARETECTURE, LLC

MEDICARE: CARETECTURE, LLC
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
13336C0004XCompounding Pharmacy28608TX

General Provider Information

NPI Number : 1730529595
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARETECTURE, LLC
Provider Business Mailing Address
First Line : 4704 ROCKCREEK LN
Second Line :
City : PLANO
State : TX
Zip : 75024-2440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY
Second Line : SUITE 120
City : PLANO
State : TX
Zip : 75093-8197
Country : US
Telephone Number : 972-378-6867
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. KAZIM OLADOTUN OYENUGA
Credential : BPHARM, PHD, MSE
Telephone Number : 972-378-6867
Provider Enumeration Date : 06/26/2013
Last Update Date : 06/26/2013

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Directions to “CARETECTURE, LLC ” Practice Location

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