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Organization
WESTLAKE HEALTH & BEAUTY PRODUCTS
Active
Organization
WESTLAKE HEALTH & BEAUTY PRODUCTS
Active
Other names
WESTLAKE HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DOAN PHARMD (OFFICER)
(817) 274-8200
Entity
Organization
Contact information
Practice address
5421 BASSWOOD BLVD STE 700, FORT WORTH, TX 76137-4483
(817) 893-5182
(817) 893-5236
Mailing address
5421 BASSWOOD BLVD STE 700, FORT WORTH, TX 76137-4483
(817) 893-5182
(817) 893-5236
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149586
—
TX
01
—
2167006
PK
—
Enumeration date
12/12/2016
Last updated
07/19/2018
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