Organization
TARRANT COUNTY HOSPITAL DISTRICT
Active
Other names
JPS MEDICAL HOME NORTHEAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL WRIGHT (PRESIDENT PHARMACY SERVICES)
(806) 242-7782
Entity
Organization
Contact information
Practice address
3200 W EULESS BLVD, EULESS, TX 76040-6253
(817) 702-6474
(817) 533-7431
Mailing address
4701 BRYANT IRVIN RD N, STE LL215, FT WORTH, TX 76107-7627
(817) 702-6474
(817) 533-7431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101029
PK
—
05
—
251020
—
TX
Enumeration date
10/25/2006
Last updated
12/27/2023
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