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DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER NPI 1023410024


NPI Information

NPI: 1023410024
Provider Name: DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER

Doing Business As: METROCARE PHARMACY AT MIDWAY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
16160 MIDWAY RD STE 200
ATTN: PHARMACY
ADDISON, TX
ZIP 75001
Phone: (972) 331-6370
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DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER is a clinic pharmacy pharmacy in Addison, 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 1023410024. The provider is registered as an organization entity type.
The provider Is Doing Business As Metrocare Pharmacy At Midway.

The provider's business location address is:

16160 MIDWAY RD STE 200
ATTN: PHARMACY
ADDISON, TX
ZIP 75001-202
Phone: (972) 331-6370
Fax: (214) 330-2491

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

The enumeration date for this NPI number is 9/22/2014 and was last updated on 3/6/2017.


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
13336M0002XPharmacyMail Order PharmacyNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic Pharmacy29518TEXASYes

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
12148001OTHERPK

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: 4/28/2024

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