Organization
AMC PHARMACY INC.
Active
Other names
Amc Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SODIENYE C HART R.PH (PHARMACY MANAGER)
(682) 703-1523
Entity
Organization
Contact information
Practice address
2813 N COMMERCE ST STE 115, FORT WORTH, TX 76106-7245
(682) 703-1523
(682) 703-2028
Mailing address
2813 N COMMERCE ST STE 115, FORT WORTH, TX 76106-7245
(682) 703-1523
(682) 703-2028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150253
—
TX
Enumeration date
04/17/2020
Last updated
08/04/2021
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