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Organization
VMLC GRACE HULEN, LLC
Active
Organization
VMLC GRACE HULEN, LLC
Active
Other names
Gateway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MANKARIOUS (PHARMACIST)
(682) 234-2309
Entity
Organization
Contact information
Practice address
5505 S HULEN ST, FORT WORTH, TX 76132-2200
(817) 297-2000
Mailing address
5505 S HULEN ST, FORT WORTH, TX 76132-2200
(817) 297-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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