Organization
PANCHO INDEPENDENT PHARMACY, INC
Active
Parent organization
PANCHO INDEPENDENT PHARMACY
Other names
Rosedale pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANCHO INDEPENDENT PHARMACY
Authorized official
DR. FRANCIS ETENGANI NJIE RPH (MANAGER/PHARMACIST)
(713) 253-5115
Entity
Organization
Contact information
Practice address
900 W ROSEDALE ST, STE B, FORT WORTH, TX 76104-4537
(817) 870-1900
(817) 870-1908
Mailing address
900 W ROSEDALE ST, STE B, FORT WORTH, TX 76104-4537
(817) 870-1900
(817) 870-1908
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26859
TX
Other
Enumeration date
03/24/2010
Last updated
08/04/2015
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