# OMNICARE PHARMACY OF TEXAS NO 1 LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omnicare of Ft. Worth \#48352, Omnicare of Ft. Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568491553
- **Authorized official:** SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 14450 TRINITY BLVD, SUITE 200, FT WORTH, TX 76155-2549
- **Practice address phone:** (817) 540-2400
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 11/24/2021