# VMLC GRACE HULEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VMLC GRACE HULEN
- **Other names:** Gateway Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598401622
- **Legal business name:** VMLC GRACE HULEN
- **Authorized official:** MAGGIE MANKARIOUS (PHARMACIST)
- **Authorized official phone:** (682) 400-3366

## Contact information

- **Practice address:** 5505 S HULEN ST, FORT WORTH, TX 76132-2200
- **Practice address phone:** (682) 400-3366
- **Mailing address:** 5505 S HULEN ST, FORT WORTH, TX 76132-2200
- **Mailing address phone:** (682) 400-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/11/2022