Healthcare Provider Details

I. General information

NPI: 1750290938
Provider Name (Legal Business Name): FORNEY HEALTH PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N FM 548 STE 103
FORNEY TX
75126-5686
US

IV. Provider business mailing address

1825 SHAMROCK GRN
MESQUITE TX
75181-4373
US

V. Phone/Fax

Practice location:
  • Phone: 817-808-1855
  • Fax:
Mailing address:
  • Phone: 214-680-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEDHIN HAILE GETACHEW
Title or Position: PHARMACIST/OWNER/PIC
Credential: PHARM D.
Phone: 214-680-3236