Organization
SENIOR HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ELLIS RPH (PHARMACIST IN CHARGE)
(682) 382-2290
Entity
Organization
Contact information
Practice address
2601 GRAVEL DR BLDG 3, FORT WORTH, TX 76118-6908
(877) 784-1490
Mailing address
2601 GRAVEL DR BLDG 3, FORT WORTH, TX 76118-6908
(877) 784-1490
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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