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Organization
WPMD LLC
Active
Organization
WPMD LLC
Active
Other names
Parkwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THAI PHAM (OWNER)
(817) 642-5613
Entity
Organization
Contact information
Practice address
3415 S COOPER ST, STE 106, ARLINGTON, TX 76015-3446
(817) 642-5613
(682) 238-3686
Mailing address
3415 S COOPER ST, STE 106, ARLINGTON, TX 76015-3446
(817) 642-5613
(682) 238-3686
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28125
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136587
PK
—
Enumeration date
08/27/2012
Last updated
03/20/2017
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