A-Class Park Place Pharmacy LLC
NPI #1134618648 in Fort Worth, Texas
Provider Information
- NPI Number
- 1134618648
- Entity Type
- Organization
- Organization Name
- A-Class Park Place Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 9, 2018
- Last Updated
- Aug 13, 2020
Practice Location
- Address
- 1001 12TH AVE STE 156
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3929
- Phone
- (817) 862-9110
Authorized Official
- Name
- SAM SALEH
- Title
- CORPORATE OFFICER
- Phone
- (817) 862-9110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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