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Andrea Polk, CPHT
Clinic Pharmacy in Irving, Texas
NPI 1255077293

Andrea Polk is a Clinic Pharmacy based in Arlington, TX and is specialized in Clinic Pharmacy. Andrea Polk practices in Irving, TX and has the professional credentials of CPHT. The NPI Number for Andrea Polk is 1255077293 and holds a License No. 1124201215 (Texas).

The current practice location address for Andrea Polk is 2001 W John Carpenter Fwy, Irving, TX and can be reached out via phone at 800-379-0092.

Location: 2001 W John Carpenter Fwy, Irving, TX, 76013-1370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255077293
Provider Name
Andrea Polk
Credential
CPHT
Provider Entity Type
Individual
Gender
Female
Address
2001 W John Carpenter Fwy, Irving, TX, 76013-1370
Phone Number
800-379-0092
Fax Number
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102239 01 TX STATE PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
2001 W John Carpenter Fwy
City
Irving
State
Texas
Zip
75063-3255
Phone Number
800-379-0092
Fax Number
person
Provider Business Mailing Address Details
Address
2001 W John Carpenter Fwy
City
Irving
State
Texas
Zip
75063-3255
Phone Number
800-379-0092
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
1124201215 (Texas)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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