Organization
W-TEE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOKY CHEUNG (MANAGER)
(817) 329-8444
Entity
Organization
Contact information
Practice address
12650 N BEACH ST STE 112, FORT WORTH, TX 76244
(214) 467-9009
Mailing address
12650 N BEACH ST STE 112, FORT WORTH, TX 76244-4248
(214) 467-9009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0198874
DPS
TX
Enumeration date
07/22/2013
Last updated
08/06/2018
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