Parkside Oasis INC
Pharmacy, Community/Retail Pharmacy in Fort Worth, TX. Organization (NPI-2).
NPI number1184809592
StatusActive
Last updated in NPPESJan 29, 2008
Details
- NPI
- 1184809592
- Entity type
- Organization (NPI-2)
- Legal business name
- Parkside Oasis INC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2008
- Last updated
- Jan 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 25846 | TX | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Rainbow Pharmacy (Doing Business As)
Practice location
3750 S University DrSuite 100
Fort Worth, TX 76109-3720
Phone 817-546-3513 · Fax 817-546-3516
Mailing address
6306 Parkside DrArlington, TX 76001-8432
Authorized official
Michael Salako
Owner
8178741733
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