Healthcare Provider Details

I. General information

NPI: 1184711095
Provider Name (Legal Business Name): PARTNERS PHARMACY OF TEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 SKYLINE DR
DALLAS TX
75243-4198
US

IV. Provider business mailing address

50 LAWRENCE RD
SPRINGFIELD NJ
07081-3121
US

V. Phone/Fax

Practice location:
  • Phone: 214-355-9082
  • Fax: 214-355-9037
Mailing address:
  • Phone: 908-931-9111
  • Fax: 908-931-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number21401
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TOOHEY
Title or Position: VP OF FINANCE/CONTROLLER
Credential:
Phone: 908-931-9111