MEDICARE: TEXAS INJURED WORKERS 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
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336S0011X	Specialty Pharmacy	20798	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2098059	OTHER		PK

General Provider Information

NPI Number	:	1881762680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS INJURED WORKERS PHARMACY

Provider Business Mailing Address
First Line	:	PO BOX 181013
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76096-1013
Country	:	US
Telephone Number	:
Fax Number	:	817-861-4635

Provider Business Practice Location Address
First Line	:	2204 PARK SPRINGS BLVD
Second Line	:	STE B
City	:	ARLINGTON
State	:	TX
Zip	:	76013-5642
Country	:	US
Telephone Number	:	817-861-3784
Fax Number	:	817-861-4638

Authorized Official
Title or Position	:	PIC
Name	:	PAULETTE SALVANT
Credential	:
Telephone Number	:	817-861-4631

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	12/20/2013

Similar Medicare Providers

1053322545 — KOHLER HOMECARE PHARMACY, INC.
Practice Location Address:

2204 PARK SPRINGS BLVD , SUITE A
ARLINGTON, TX
76013-5642

Practice Phone: 817-861-4631
Practice Fax: 620-508-2755

1043813405 — QUY NGUYEN RPH
Practice Location Address:

2210 S FIELDER RD
ARLINGTON, TX
76013-6258

Practice Phone: 817-277-3533
Practice Fax:

1417565250 — DYESS GARDNER RN
Practice Location Address:

1300 S BOWEN RD STE A
ARLINGTON, TX
76013-6713

Practice Phone: 817-704-1444
Practice Fax:

1336077486 — SUPREME SMILES ARLINGTON, PLLC
Practice Location Address:

847 W MITCHELL ST
ARLINGTON, TX
76013-2506

Practice Phone: 817-875-0273
Practice Fax:

1346890340 — BIANCA MATAMOROS
Practice Location Address:

1205 W GREEN OAKS BLVD STE B
ARLINGTON, TX
76013-8333

Practice Phone: 817-457-3088
Practice Fax:

1912345794 — AMERI-TECH KIDNEY CENTER-ARLINGTON LLC
Practice Location Address:

1138 S BOWEN RD
ARLINGTON, TX
76013-2204

Practice Phone: 817-265-7115
Practice Fax: 817-277-7266

Directions to “TEXAS INJURED WORKERS PHARMACY ” 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.