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Organization
GLENVIEW PROFESSIONAL PHARMACY INC
Active
Organization
GLENVIEW PROFESSIONAL PHARMACY INC
Active
Other names
GLENVIEW PROFESSIONAL PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FREAL VAN HEISE RPH (VICE PRESIDENT)
(817) 284-1926
Entity
Organization
Contact information
Practice address
7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
(817) 284-1926
(817) 589-0908
Mailing address
7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
(817) 284-1926
(817) 589-0908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
16132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145073
—
TX
01
—
2104425
PK
—
Enumeration date
01/17/2006
Last updated
05/01/2019
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