NPI Provider: 1659377984
Contact Name: Reeder Joe Carl
Position: Director of Pharmacy
Phone: (817) 547-1002
Rx.com Information:
Rx.com organization have npi 1659377984, taxonomy code is 333600000X with license number is 23915 in . This Business address located in 4710 Mercantile Dr, Fort Worth, TX 76137 Texas.
Practice Location
Address: 4710 Mercantile Dr, Fort Worth, TX 76137
Phone: (817) 547-1000
Business Location
Address: 4710 Mercantile Dr, Fort Worth, TX 76137
Phone: (817) 547-1000
Fax: (817) 547-1049
Taxonomy
Taxonomy Code: 333600000X
License Number: 23915
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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