Provider Information for 1184862146
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AYDIL HEALTHCARE, PLLC
Other Names:Doing Business As:MEDICINE SHOPPEOrganization Subpart: NO
NPI: 1184862146
Last Updated: 2010-02-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184862146 | ||||||||
| Enumeration Date | 2009-01-29 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: VIMAL LAKHU BHAKTA R.Ph. Title: Owner/Pharmacist Phone: 9727346281 | ||||||||
| Mailing Address | 501 E PRINCETON DR # 100 P.O. BOX 1391 PRINCETON, TX 75407 United States Phone: 972-734-6281 | Fax:972-736-4615 | ||||||||
| Primary Practice Address | 501 E PRINCETON DR # 100 PRINCETON, TX 75407 United States Phone: 972-734-6281 | Fax:972-736-4615 | ||||||||
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