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Organization

U.S. PHARMACY, INC. STORE#2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICARDO O'DONNELL NEWTON R.PH. (PRESIDENT/PHARMACIST)
(817) 531-8880
Entity
Organization

Contact information

Practice address
4245 E BERRY ST, FORT WORTH, TX 76105
(817) 478-9191
(817) 572-0740
Mailing address
4245 E BERRY ST, FORT WORTH, TX 76105-5002
(817) 531-8880
(817) 531-8886

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26563
TX

Other

Enumeration date
07/28/2009
Last updated
07/28/2009
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