Organization
RANDAL RIVERSIDE CORPORATION
Active
Organization
RANDAL RIVERSIDE CORPORATION
Active
Other names
Matlock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAFUL D PATEL PHARMACIST (PHARMACIST-IN-CHARGE)
(214) 457-5571
Entity
Organization
Contact information
Practice address
3360 MATLOCK RD STE 100, ARLINGTON, TX 76015-2907
(817) 557-3900
(817) 557-3903
Mailing address
3360 MATLOCK RD STE 100, ARLINGTON, TX 76015-2907
(817) 557-3900
(817) 557-3903
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26572
TX
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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