Provider Demographics
NPI:1376894774
Name:ONWARD CARE PHARMACY INC
Entity Type:Organization
Organization Name:ONWARD CARE PHARMACY INC
Other - Org Name:ONWARD CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEUGWOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-426-9222
Mailing Address - Street 1:3305 ALTAMESA BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-8746
Mailing Address - Country:US
Mailing Address - Phone:817-426-9222
Mailing Address - Fax:817-426-9191
Practice Address - Street 1:3305 ALTAMESA BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-8746
Practice Address - Country:US
Practice Address - Phone:817-426-9222
Practice Address - Fax:817-426-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282553336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137129OtherPK