Organization
MEADOWBROOK PHARMACY, INC.
Active
Other names
meadowbrook pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE GEORGE LUDINGTON RPH (PRESIDENT)
(817) 451-5613
Entity
Organization
Contact information
Practice address
6637 MEADOWBROOK DR, FORT WORTH, TX 76112-5240
(817) 451-5611
(817) 457-8804
Mailing address
6637 MEADOWBROOK DR, FORT WORTH, TX 76112-5240
(817) 451-5611
(817) 457-8804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VP1430540
—
TX
Enumeration date
11/30/2006
Last updated
08/22/2020
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