# GLENVIEW PROFESSIONAL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLENVIEW PROFESSIONAL PHARMACY II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841279932
- **Authorized official:** KEITH FREAL VAN HEISE RPH (VICE PRESIDENT)
- **Authorized official phone:** (817) 284-1926

## Contact information

- **Practice address:** 7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
- **Practice address phone:** (817) 284-1926
- **Practice address fax:** (817) 589-0908
- **Mailing address:** 7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
- **Mailing address phone:** (817) 284-1926
- **Mailing address fax:** (817) 589-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 16132 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 05/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 145073 | — | TX |
| 01 | — | 2104425 | PK | — |