Organization
ALLIANCE PHARMACY LLC
Active
Other names
ALLIANCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSEY NGUYEN (MANAGER)
(817) 952-1999
Entity
Organization
Contact information
Practice address
9601 N BEACH ST STE 105, FORT WORTH, TX 76244-6432
(409) 293-9399
Mailing address
9601 N BEACH ST STE 105, FORT WORTH, TX 76244-6432
(409) 293-9399
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
32160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32160
TEXAS BOARD OF PHARMACY
TX
Enumeration date
07/17/2018
Last updated
09/12/2019
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