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Provide Rx Of Grapevine
Long Term Care Pharmacy in Forney, Texas
NPI 1326221268

Provide Rx Of Grapevine is a Long Term Care Pharmacy based in Forney, TX and is specialized in Long Term Care Pharmacy. Provide Rx Of Grapevine practices in Forney, TX. The NPI Number for Provide Rx Of Grapevine is 1326221268 and holds a License No. 25809 (Texas).

The current practice location address for Provide Rx Of Grapevine is 771 E Us Highway 80 Ste 210, Forney, TX and can be reached out via phone at 817-310-5554 and via fax at 817-310-0862.

Location: 771 E Us Highway 80 Ste 210, Forney, TX, 75126-2176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326221268
Provider Name
Provide Rx Of Grapevine
Credential
Provider Entity Type
Organization
Address
771 E Us Highway 80 Ste 210, Forney, TX, 75126-2176
Phone Number
817-310-5554
Fax Number
817-310-0862
Provider Enumeration Date
12/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4546555 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
771 E Us Highway 80 Ste 210
City
Forney
State
Texas
Zip
75126-8699
Phone Number
817-310-5554
Fax Number
817-310-0862
person
Provider Business Mailing Address Details
Address
771 E Us Highway 80 Ste 210
City
Forney
State
Texas
Zip
75126-8699
Phone Number
817-310-5554
Fax Number
817-310-0862
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
25809 (Texas)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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