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OAK CLIFF PHARMACY LLC NPI 1770703894


NPI Information

NPI: 1770703894
Provider Name: OAK CLIFF PHARMACY LLC

Other Name: OAK CLIFF PHARMACY

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3434 S POLK ST STE B
DALLAS, TX
ZIP 75224
Phone: (214) 371-2815
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OAK CLIFF PHARMACY LLC is a primary care clinic center in Dallas, TX. OAK CLIFF PHARMACY LLC NPI is 1770703894. The provider is registered as an organization entity type.
The provider Other Name Is Oak Cliff Pharmacy.

The provider's business location address is:

3434 S POLK ST STE B
DALLAS, TX
ZIP 75224-890
Phone: (214) 371-2815
Fax: (214) 281-8428

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

The enumeration date for this NPI number is 4/30/2007 and was last updated on 8/22/2020.


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
1261QP2300XClinic/CenterPrimary Care25321TEXASYes

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
125321OTHERTEXASSTATE LICENSE NUMBER
2145733MEDICAIDTEXAS
3FO0087797OTHERDEA NUMBER

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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