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Organization

CLEARFORK PHARMACY, LLC

Active
Other names
Southfork Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL BOOTHBY (OWNER)
(817) 805-7874
Entity
Organization

Contact information

Practice address
2901 ACME BRICK PLZ STE 204, FORT WORTH, TX 76109-4124
(205) 789-4507
Mailing address
2901 ACME BRICK PLAZA SUITE 204, FORT WORTH, TX 76109
(817) 918-7441
(936) 570-9079

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
05/05/2021
Last updated
08/26/2022
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