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OAK CLIFF PHARMACY LLC NPI 1740354273


NPI Information

NPI: 1740354273
Provider Name: OAK CLIFF PHARMACY LLC

Doing Business As: OAK CLIFF PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D1031616

Address:
3436 S POLK ST
DALLAS, TX
ZIP 75224
Phone: (214) 371-2815
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OAK CLIFF PHARMACY LLC is a community/retail pharmacy pharmacy in Dallas, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. OAK CLIFF PHARMACY LLC NPI is 1740354273. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Cliff Pharmacy.

The provider's business location address is:

3436 S POLK ST
DALLAS, TX
ZIP 75224-804
Phone: (214) 371-2815
Fax: (214) 371-0606

The provider's authorized official is Ronald Barrett .
The authorized official title is Owner Manager and has the following contact phone number (214) 371-2815.

The CLIA number assigned to this NPI record is 45D1031616 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 4/5/2017.


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 Pharmacy25321TEXASYes

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
129259MEDICAIDTEXAS
22099681OTHERPK
3145733MEDICAIDTEXAS

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

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