Provide Rx Of Grapevine
Long Term Care Pharmacy
771 E Us Highway 80 Ste 210, Forney
Texas, 75126-8699
817-310-5554 817-310-0862
Provide Rx Of Grapevine is a Long Term Care Pharmacy in Forney, Texas. It is located at 771 E Us Highway 80 Ste 210, Forney and it's customer support contact number is 817-310-5554. The authorized person of Provide Rx Of Grapevine is Reef Gillum who is President of the pharmacy and his contact number is 817-778-8777. Active license number of Provide Rx Of Grapevine is 25809 for Long Term Care Pharmacy in Texas.
Provide Rx Of Grapevine is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Provide Rx Of Grapevine type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Provide Rx Of Grapevine |
| Type: | Long Term Care Pharmacy |
| Location: | 771 E Us Highway 80 Ste 210, Forney,
Texas, 75126-8699 |
| Phone: | 817-310-5554 |
| Fax: | 817-310-0862 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Reef Gillum |
| Position: | President |
| Contact Number: | 817-778-8777 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1326221268 |
| NPI Enumeration Date: | 14 Dec, 2007 |
| NPI Last Update On: | 19 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provide Rx Of Grapevine are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 25809 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4546555 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2176,
Forney, Texas |
| Zip: | 75126-2176 |
| Phone Number: | 817-310-5554 |
| Fax Number: | 817-756-1101 |
Patients can reach Provide Rx Of Grapevine at
771 E Us Highway 80 Ste 210, Forney, Texas or can
call on customer care at 817-310-5554.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.