Organization
TEXAS INJURED WORKERS PHARMACY
Active
Other names
TEXAS INJURED WORKERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE SALVANT (PIC)
(817) 861-4631
Entity
Organization
Contact information
Practice address
2204 PARK SPRINGS BLVD, STE B, ARLINGTON, TX 76013-5642
(817) 861-3784
(817) 861-4638
Mailing address
PO BOX 181013, ARLINGTON, TX 76096-1013
(817) 861-4635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
20798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098059
PK
—
Enumeration date
12/01/2006
Last updated
12/20/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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