Organization
TANGLEWOOD PHARMACY INC
Active
Other names
TANGLEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND HORTON RPH (OWNER)
(254) 968-7657
Entity
Organization
Contact information
Practice address
2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
(254) 968-7657
(254) 968-0364
Mailing address
2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
(254) 968-7657
(254) 968-0364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16499
TX
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144228
—
TX
01
—
2096581
PK
—
Enumeration date
07/10/2006
Last updated
04/12/2022
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