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NPI Code Detail

MEDICARE: PLAZA APOTHECARY PLLC

MEDICARE: PLAZA APOTHECARY PLLC
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
1261QP2300XPrimary Care Clinic/Center
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy27490TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127490OTHERTXTEXAS STATE BOARD OF PHARMACY

General Provider Information

NPI Number : 1861785370
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAZA APOTHECARY PLLC
Provider Business Mailing Address
First Line : P.O. BOX 2735
Second Line :
City : FRISCO
State : TX
Zip : 75034-0051
Country : US
Telephone Number : 214-855-0606
Fax Number : 214-855-0609
Provider Business Practice Location Address
First Line : 600 N PEARL STREET, STE H201
Second Line :
City : DALLAS
State : TX
Zip : 75201-7430
Country : US
Telephone Number : 214-855-0606
Fax Number : 214-855-0609
Authorized Official
Title or Position : OWNER/MANAGING PARTNER
Name : DR. RAJ MILAN CHHADUA
Credential : PHARMD
Telephone Number : 214-422-2598
Provider Enumeration Date : 05/17/2011
Last Update Date : 08/14/2023

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Directions to “PLAZA APOTHECARY PLLC ” Practice Location

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