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NPI Code Detail

MEDICARE: NATIONAL PHARMACY OF TEXAS

MEDICARE: NATIONAL PHARMACY OF TEXAS
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
13336L0003XLong Term Care Pharmacy25606TX

General Provider Information

NPI Number : 1205033859
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL PHARMACY OF TEXAS
Provider Business Mailing Address
First Line : 2631 GRAVEL DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6982
Country : US
Telephone Number : 817-590-0073
Fax Number : 817-590-2252
Provider Business Practice Location Address
First Line : 2631 GRAVEL DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6982
Country : US
Telephone Number : 817-590-0073
Fax Number : 817-590-2203
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. THOMAS A CANERIS
Credential :
Telephone Number : 502-627-7135
Provider Enumeration Date : 06/28/2007
Last Update Date : 09/15/2014

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Directions to “NATIONAL PHARMACY OF TEXAS ” Practice Location

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