Organization
GLENVIEW PROFESSIONAL PHARMACY INC
Active
Other names
GLENVIEW PROFESSIONAL PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FREAL VAN HEISE RPH (VICE PRESIDENT)
(817) 284-1926
Entity
Organization
Contact information
Practice address
7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
(817) 284-1926
(817) 589-0908
Mailing address
7640 GLENVIEW DR STE B, RICHLAND HILLS, TX 76180-8330
(817) 284-1926
(817) 589-0908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
16132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145073
—
TX
01
—
2104425
PK
—
Enumeration date
01/17/2006
Last updated
05/01/2019
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