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Organization
GUARDIAN PHARMACY OF TEXAS LLC
Active
Organization
GUARDIAN PHARMACY OF TEXAS LLC
Active
Other names
Guardian Pharmacy of Dallas-Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER CORSINI (PRESIDENT)
(817) 633-6688
Entity
Organization
Contact information
Practice address
711 DIRECTORS DR, ARLINGTON, TX 76011-5103
(817) 633-6688
(817) 633-6678
Mailing address
PO BOX 11407, DEPT #5595, BIRMINGHAM, AL 35246-5595
(404) 810-0089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
31479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170924
PK
—
05
—
351066
—
TX
Enumeration date
07/05/2017
Last updated
01/24/2022
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