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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI 1124568969


NPI Information

NPI: 1124568969
Provider Name: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Doing Business As: UT SOUTHWESTERN SPECIALTY PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 45D0861764

Address:
6333 FOREST PARK RD
SUITE BLA 126
DALLAS, TX
ZIP 75235
Phone: (214) 645-6828
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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS is a specialty pharmacy pharmacy in Dallas, TX. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS NPI is 1124568969. The provider is registered as an organization entity type.
The provider Is Doing Business As Ut Southwestern Specialty Pharmacy.

The provider's business location address is:

6333 FOREST PARK RD
SUITE BLA 126
DALLAS, TX
ZIP 75235-461
Phone: (214) 645-6828
Fax: (214) 645-6829

The provider's authorized official is Mark Alan Meyer .
The authorized official title is Cfo and has the following contact phone number (214) 633-4804.

The CLIA number assigned to this NPI record is 45D0861764 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 5/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336S0011XPharmacySpecialty Pharmacy31219TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12168282OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.