Provide Rx of Grapevine
Provide Rx of Grapevine is a Long Term Care Pharmacy in Forney, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
771 E US Highway 80 Ste 210Forney, TX 75126-8699
Phone: (817) 310-5554
Fax: (817) 310-0862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 25809 (TX) |
|---|
Record details
| NPI number | 1326221268 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reef Gillum — President · (817) 778-8777 |
| Other names | Provide Rx Of Grapevine |
| NPI enumerated | December 14, 2007 |
| Last updated in NPPES | October 19, 2012 |
| Mailing address | Po Box 2176, Forney, TX 75126-2176 |