Organization · NPI-2

-Texas Health Infusion Pharmacy

Pharmacist · Grand Prairie, TX

NPI number1629434873
StatusActive
Last updated in NPPESJan 4, 2016

Details

NPI
1629434873
Entity type
Organization (NPI-2)
Legal business name
-Texas Health Infusion Pharmacy
Organization subpart
Yes
Enumeration date
Jan 4, 2016
Last updated
Jan 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28861TXYes

Other names

  • Texas Health Pharmacy (Other Name)

Practice location

200 N Carrier Pkwy Ste 212
Grand Prairie, TX 75050-5476

Phone 972-504-6115 · Fax 972-504-6406

Mailing address

200 N Carrier Pkwy Ste 212
Grand Prairie, TX 75050-5476

Phone 972-504-6115 · Fax 972-504-6406

Authorized official

Constance Allen
Managing Owner
8176808673

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