Organization · Type 2 NPI
Pancho Independent Pharmacy Inc
Non-Pharmacy Dispensing Site · Keller, TX
NPI number
1760959860
Active
Practice location
790 Keller Pkwy Ste 1505
Keller, TX 76248-2403
Fax (817) 379-2677
Mailing address
1108 Wishing Tree Ln
Keller, TX 76248-5272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1760959860
Pancho Independent Pharmacy Inc's National Provider Identifier is 1760959860, issued on Oct 26, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Keller, TX. The record was last updated on Oct 26, 2018.