Organization
TOWER MEDIC PHARMACY INC
Active
Other names
TOWER MEDIC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN MUSGROVE RPH (CEO)
(817) 336-8133
Entity
Organization
Contact information
Practice address
607 W MAGNOLIA AVE, FT WORTH, TX 76104-4608
(817) 336-8133
(817) 314-7227
Mailing address
607 W MAGNOLIA AVE, FT WORTH, TX 76104-4608
(817) 336-8133
(817) 314-7227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3074
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140068
—
TX
01
—
2096534
PK
—
Enumeration date
06/16/2005
Last updated
10/24/2019
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