Organization
HAYES PHARMACY
Active
Other names
TOXIPHARM COMPLIANCE MONTORING
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PORTER (SUPERVISOR)
(805) 416-1648
Entity
Organization
Contact information
Practice address
5420 PALOMA BLANCA DR, FT WORTH, TX 76179-7500
(805) 416-1648
Mailing address
5420 PALOMA BLANCA DR, FT WORTH, TX 76179-7500
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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