# TANGLEWOOD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TANGLEWOOD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598407546
- **Authorized official:** COURTNEY BOWEN (BUSINESS MANAGER)
- **Authorized official phone:** (254) 968-7657

## Contact information

- **Practice address:** 2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
- **Practice address phone:** (254) 968-7657
- **Practice address fax:** (254) 968-0364
- **Mailing address:** 2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
- **Mailing address phone:** (254) 968-7657
- **Mailing address fax:** (254) 968-0364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 04/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086988501 | — | TX |