| NPI | 1881708873 |
|---|---|
| Doing Business As | FORT WORTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CREIGHTON MAYNARD Owner 817-361-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30317) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-09-17 |