Organization
QVL PHARMACY 146, LLC
Active
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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