# TARRANT COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TCHD GRAND PRAIRIE COMMUNITY CLINIC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649402652
- **Authorized official:** JULIE ABERNATHY (DIRECTOR OF OUTPATIENT PHARMAC)
- **Authorized official phone:** (817) 702-6718

## Contact information

- **Practice address:** 2737 SHERMAN ST, GRAND PRAIRIE, TX 75051-1027
- **Practice address phone:** (817) 702-4783
- **Practice address fax:** (817) 702-4784
- **Mailing address:** 2737 SHERMAN ST, GRAND PRAIRIE, TX 75051-1027
- **Mailing address phone:** (817) 702-4783
- **Mailing address fax:** (817) 702-4784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2009
- **Last updated:** 10/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4554083 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |