Organization · Type 2 NPI

Baylor Scott & White Health Enterprises, Inc.

Community/Retail Pharmacy · Dallas, TX

NPI number 1629104039 Active

Practice location

3600 Gaston Ave Ste 109
Dallas, TX 75246-1801

Call (214) 820-3451 Map

Fax (214) 820-4088

Mailing address

PO Box 847670
Dallas, TX 75284-7670

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	21867 (TX)

Community/Retail Pharmacy: 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 …

5 other providers at this address

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NPI record

NPI: 1629104039
Entity type: Organization (Type 2)
Issued: Feb 27, 2007
Last updated: Apr 24, 2025
Status: Active

Other names

<unavail>
Baylor Scott & White Pharmacy #101 · doing business as
Baylor Scott & White Pharmacy #101 · doing business as

Authorized official

Tammy Cohen
President
(214) 865-3669

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629104039

Baylor Scott & White Health Enterprises, Inc.'s National Provider Identifier is 1629104039, issued on Feb 27, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Dallas, TX. The record was last updated on Apr 24, 2025.