NPI 1629679717 · live from the CMS NPI Registry
Edith Achebodt
Pharmacy, Community/Retail Pharmacy in Arlington, TX. National Provider Identifier 1629679717, active.
NPI record
| NPI | 1629679717 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2233 Avenue J Ste 103b, Arlington, TX 76006 |
| Practice phone | 972-205-9898 |
| Mailing address | 1708 Tamarack Dr, Wylie, TX 75098 |
| Enumerated | November 4, 2020 |
| Last updated | November 4, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 46810 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.