Provide Rx of Grapevine
NPI #1326221268 in Forney, Texas
Provider Information
- NPI Number
- 1326221268
- Entity Type
- Organization
- Organization Name
- Provide Rx of Grapevine
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Oct 19, 2012
Practice Location
Authorized Official
- Name
- REEF GILLUM
- Title
- PRESIDENT
- Phone
- (817) 778-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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