# GUARDIAN PHARMACY OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guardian Pharmacy of Dallas-Fort Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720509318
- **Authorized official:** TANNER CORSINI (PRESIDENT)
- **Authorized official phone:** (817) 633-6688

## Contact information

- **Practice address:** 711 DIRECTORS DR, ARLINGTON, TX 76011-5103
- **Practice address phone:** (817) 633-6688
- **Practice address fax:** (817) 633-6678
- **Mailing address:** PO BOX 11407, DEPT \#5595, BIRMINGHAM, AL 35246-5595
- **Mailing address phone:** (404) 810-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 31479 | TX | Yes |

## Other

- **Enumeration date:** 07/05/2017
- **Last updated:** 01/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2170924 | PK | — |
| 05 | — | 351066 | — | TX |