OrganizationActive
A-Class Park Place Pharmacy LLC
NPI 1134618648 · Pharmacy · Fort Worth, TX
Provider details
- NPI number
- 1134618648
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sam Saleh, Corporate Officer(817) 862-9110
Specialties & taxonomies
Suppliers
Practice location
1001 12th Ave Ste 156
Fort Worth, TX 76104-3929
Phone: (817) 862-9110
Approximate (ZIP-level) locationGet directions
Mailing address
1001 12th Ave Ste 156
Fort Worth, TX 76104-3929
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.