Provider Demographics
NPI:1699256826
Name:ARETE GROUP LLC
Entity type:Organization
Organization Name:ARETE GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNOREN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:214-551-3068
Mailing Address - Street 1:15824 DORRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7138
Mailing Address - Country:US
Mailing Address - Phone:214-551-3068
Mailing Address - Fax:
Practice Address - Street 1:1555 W MOCKINGBIRD LN STE 208
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5019
Practice Address - Country:US
Practice Address - Phone:214-905-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARETE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32228333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy