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NPI Code Detail

MEDICARE: DR DEANOS PHARMACY

MEDICARE: DR DEANOS PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146D00000XPersonal Emergency Response Attendant19034TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306962386
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR DEANOS PHARMACY
Provider Business Mailing Address
First Line : 4432 MALCOLM X BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75215-4349
Country : US
Telephone Number : 214-565-9898
Fax Number : 212-565-9899
Provider Business Practice Location Address
First Line : 4432 MALCOLM X BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75215-4349
Country : US
Telephone Number : 214-565-9898
Fax Number : 212-565-9899
Authorized Official
Title or Position : PHARMACIST OWNER
Name : MR. WILFRED DEAN ANTHONY
Credential : RPH
Telephone Number : 214-565-9898
Provider Enumeration Date : 03/22/2007
Last Update Date : 08/22/2020

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Directions to “DR DEANOS PHARMACY ” Practice Location

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