Organization
QVL PHARMACY 146, LLC
Active
Parent organization
QVL PHARMACY HOLDINGS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QVL PHARMACY HOLDINGS, INC
Authorized official
MR. J MARK BRADFORD (CEO)
(972) 788-2653
Entity
Organization
Contact information
Practice address
914 LIPSCOMB, SUITE B, FORT WORTH, TX 76104
(817) 806-5133
(817) 806-5137
Mailing address
4141 BLUE LAKE CIRCLE, SUITE 124, DALLAS, TX 75244
(972) 788-2653
(214) 975-1327
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26306
TX
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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