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DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER NPI 1821185026


NPI Information

NPI: 1821185026
Provider Name: DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER

Doing Business As: DALLAS MENTAL HEALTH CLINIC

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4645 SAMUELL BLVD STE 107
DALLAS, TX
ZIP 75228
Phone: (214) 275-7393
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DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER is a clinic pharmacy pharmacy in Dallas, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER NPI is 1821185026. The provider is registered as an organization entity type.
The provider Is Doing Business As Dallas Mental Health Clinic.

The provider's business location address is:

4645 SAMUELL BLVD STE 107
DALLAS, TX
ZIP 75228-826
Phone: (214) 275-7393
Fax: (214) 381-1480

The provider's authorized official is Mark Edery .
The authorized official title is Director and has the following contact phone number (214) 743-6180.

The enumeration date for this NPI number is 10/7/2006 and was last updated on 2/22/2017.


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
23336C0002XPharmacyClinic Pharmacy6403TEXASYes

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
12099861OTHERPK

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.