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NPI Code Detail

MEDICARE: TOWER MEDIC PHARMACY INC

MEDICARE: TOWER MEDIC PHARMACY INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0004XCompounding Pharmacy
43336L0003XLong Term Care Pharmacy
53336S0011XSpecialty Pharmacy
63336C0003XCommunity/Retail Pharmacy3074TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12096534OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932104957
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWER MEDIC PHARMACY INC
Provider Business Mailing Address
First Line : 607 W MAGNOLIA AVE
Second Line :
City : FT WORTH
State : TX
Zip : 76104-4608
Country : US
Telephone Number : 817-336-8133
Fax Number : 817-314-7227
Provider Business Practice Location Address
First Line : 607 W MAGNOLIA AVE
Second Line :
City : FT WORTH
State : TX
Zip : 76104-4608
Country : US
Telephone Number : 817-336-8133
Fax Number : 817-314-7227
Authorized Official
Title or Position : CEO
Name : MELVIN MUSGROVE
Credential : RPH
Telephone Number : 817-336-8133
Provider Enumeration Date : 06/16/2005
Last Update Date : 10/24/2019

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Directions to “TOWER MEDIC PHARMACY INC ” Practice Location

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