MEDICARE: JANICE GRAHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24165	TX

General Provider Information

NPI Number	:	1487035663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE GRAHAM

Provider Business Mailing Address
First Line	:	3563 ALTON RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3563 ALTON RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2834
Country	:	US
Telephone Number	:	817-548-1516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2015
Last Update Date	:	06/14/2015

Similar Medicare Providers

1316024292 — MINYARD FOOD STORES INC.
Practice Location Address:

3563 ALTON RD
FT WORTH, TX
76109-2834

Practice Phone: 817-923-3508
Practice Fax: 817-923-1843

1255566287 — CRANDALL CITY MARKET INC
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109-2834

Practice Phone: 817-429-2571
Practice Fax: 817-921-6075

1306228838 — JUDSON CONNER
Practice Location Address:

3563 ALTON RD
FORT WORTH, TX
76109-2834

Practice Phone: 817-548-1516
Practice Fax:

1740354703 — WRENN MEDICAL SUPPLY
Practice Location Address:

2834 SE LOOP 820
FORT WORTH, TX
76140-1018

Practice Phone: 817-568-1112
Practice Fax: 817-568-8306

1942293667 — QHC FORT DODGE VILLA LLC
Practice Location Address:

2721 10TH AVE N
FORT DODGE, IA
50501-2834

Practice Phone: 515-576-7525
Practice Fax: 515-955-7528

1902836000 — DR. KIMBERLY BROWN-GULLATT MD
Practice Location Address:

1600 FORT BENNING RD
COLUMBUS, GA
31903-2834

Practice Phone: 706-322-9599
Practice Fax: 706-322-9567

Directions to “ JANICE GRAHAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.