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Organization

VMLC GRACE HULEN, LLC

Active
Other names
Gateway Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGIE MANKARIOUS (PHARMACIST)
(682) 234-2309
Entity
Organization

Contact information

Practice address
5505 S HULEN ST, FORT WORTH, TX 76132-2200
(817) 297-2000
Mailing address
5505 S HULEN ST, FORT WORTH, TX 76132-2200
(817) 297-2000

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
08/13/2021
Last updated
08/13/2021
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