Organization
TARRANT COUNTY HOSPITAL DISTRICT
Active
Other names
TCHD GRAND PRAIRIE COMMUNITY CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ABERNATHY (DIRECTOR OF OUTPATIENT PHARMAC)
(817) 702-6718
Entity
Organization
Contact information
Practice address
2737 SHERMAN ST, GRAND PRAIRIE, TX 75051-1027
(817) 702-4783
(817) 702-4784
Mailing address
2737 SHERMAN ST, GRAND PRAIRIE, TX 75051-1027
(817) 702-4783
(817) 702-4784
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4554083
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2009
Last updated
10/01/2009
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