Healthcare Provider Details

I. General information

NPI: 1972026441
Provider Name (Legal Business Name): DHD PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 S WESTMORELAND RD STE 106
DALLAS TX
75237-4221
US

IV. Provider business mailing address

7220 S WESTMORELAND RD STE 106
DALLAS TX
75237-4221
US

V. Phone/Fax

Practice location:
  • Phone: 214-377-9217
  • Fax:
Mailing address:
  • Phone: 214-377-9217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number31502
License Number StateTX

VIII. Authorized Official

Name: MS. HELEN D. GIPSON
Title or Position: OWNER
Credential:
Phone: 214-377-9217