Organization
RANDAL RIVERSIDE CORPORATION
Active
Other names
MATLOCK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRAFUL D PATEL (OWNER)
(817) 557-3900
Entity
Organization
Contact information
Practice address
3360 MATLOCK RD # 100, ARLINGTON, TX 76015-2907
(817) 557-3900
(817) 557-3903
Mailing address
3360 MATLOCK RD # 100, ARLINGTON, TX 76015-2907
(817) 557-3900
(817) 557-3903
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
36125
TX
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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