Organization
FOUNDER PROJECT RX, INC.
Active
Parent organization
FOUNDER PROJECT RX, INC.
Other names
Encore Pharmacy #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDER PROJECT RX, INC.
Authorized official
NICKY L OTTS (PRESIDENT, MANAGING OFFICER)
(817) 239-6516
Entity
Organization
Contact information
Practice address
800 8TH AVENUE, SUITE #130, FORT WORTH, TX 76104
(817) 335-5712
(817) 332-5363
Mailing address
1620 W. NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23060
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/25/2006
Last updated
03/08/2023
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