Organization
TEXAS HEALTH RX
Active
Other names
TEXAS HEALTH RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN PHAM (OFFICER)
(972) 854-6945
Entity
Organization
Contact information
Practice address
643 S GREAT SOUTHWEST PKWY STE 104, GRAND PRAIRIE, TX 75051-1056
(972) 854-6945
(972) 298-2542
Mailing address
643 S GREAT SOUTHWEST PKWY STE 104, GRAND PRAIRIE, TX 75051-1056
(972) 854-6945
(972) 298-2542
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153074
PK
—
Enumeration date
07/07/2015
Last updated
05/08/2018
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