Organization
TANGLEWOOD PHARMACY INC
Active
Other names
TANGLEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BOWEN (BUSINESS MANAGER)
(254) 968-7657
Entity
Organization
Contact information
Practice address
2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
(254) 968-7657
(254) 968-0364
Mailing address
2445 NORTHWEST LOOP STE A, STEPHENVILLE, TX 76401-1705
(254) 968-7657
(254) 968-0364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086988501
—
TX
Enumeration date
04/11/2022
Last updated
04/25/2022
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