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BANDERA APOTHECARY LP NPI 1104990639


NPI Information

NPI: 1104990639
Provider Name: BANDERA APOTHECARY LP

Other Name: NETCARE PHARMACY #1

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2187824

Address:
2270 SPRINGLAKE RD # 800B
FARMERS BRANCH, TX
ZIP 75234
Phone: (210) 802-0511
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BANDERA APOTHECARY LP is a community/retail pharmacy pharmacy in Farmers Branch, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BANDERA APOTHECARY LP NPI is 1104990639. The provider is registered as an organization entity type.
The provider Other Name Is Netcare Pharmacy #1.

The provider's business location address is:

2270 SPRINGLAKE RD # 800B
FARMERS BRANCH, TX
ZIP 75234-872
Phone: (210) 802-0511
Fax: (210) 802-0512

The provider's authorized official is Raj Milan Chhadua .
The authorized official title is Owner/managing Partner and has the following contact phone number (214) 422-2598.

The CLIA number assigned to this NPI record is 45D2187824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy18620TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12090498OTHERPK
2144664MEDICAIDTEXAS
3752368MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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