Organization
GRAPEVINE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BENITEZ CPHT (OWNER)
(469) 733-0606
Entity
Organization
Contact information
Practice address
2637 IRA E WOODS AVE STE 200, GRAPEVINE, TX 76051-9012
(817) 416-2222
(817) 416-2223
Mailing address
2637 IRA E WOODS AVE STE 200, GRAPEVINE, TX 76051-9012
(817) 416-2222
(817) 416-2223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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