Organization
ALLIED PHARMACY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WAINE JACKSON RPH (PHARMACIST-PRESIDENT)
(817) 226-5050
Entity
Organization
Contact information
Practice address
801 STADIUM DR, SUITE # 111, ARLINGTON, TX 76011-6254
(817) 226-5050
(817) 860-1275
Mailing address
801 STADIUM DR, SUITE # 111, ARLINGTON, TX 76011-6254
(817) 226-5050
(817) 860-1275
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
17649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17649
STATE PHARMACY LICENSE
TX
Enumeration date
04/26/2007
Last updated
08/22/2020
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