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NPI Code Detail

MEDICARE: PARKWOOD PHARMACY

MEDICARE: PARKWOOD PHARMACY
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
13336C0003XCommunity/Retail Pharmacy28125TX

General Provider Information

NPI Number : 1306195615
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKWOOD PHARMACY
Provider Business Mailing Address
First Line : 3415 S COOPER ST STE 106
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-3434
Country : US
Telephone Number : 817-642-5613
Fax Number :
Provider Business Practice Location Address
First Line : 3415 S COOPER ST STE 106
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-3434
Country : US
Telephone Number : 817-642-5613
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : MR. THAI PHAM
Credential : OFFICER
Telephone Number : 817-642-5613
Provider Enumeration Date : 08/31/2012
Last Update Date : 01/06/2017

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Directions to “PARKWOOD PHARMACY ” Practice Location

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