Organization
A-1 DRUG MART INC
Active
Other names
SPENCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDER SPENCE PHARMACY (PRESIDENT)
(817) 676-3744
Entity
Organization
Contact information
Practice address
4821 RIVER OAKS BLVD, FT WORTH, TX 76114-3097
(817) 626-3744
(817) 625-8103
Mailing address
4821 RIVER OAKS BLVD, FT WORTH, TX 76114-3097
(817) 626-3744
(817) 625-8103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1863
TX
3336C0003X
Community/Retail Pharmacy
Primary
Y005812
AZ
3336C0004X
Compounding Pharmacy
6331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140827
—
TX
01
—
2096416
PK
—
Enumeration date
08/01/2006
Last updated
02/25/2014
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