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NPI Code Detail

MEDICARE: PRESBYTERIAN APOTHECARY

MEDICARE: PRESBYTERIAN APOTHECARY
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy03320TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24517871OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1376638999
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN APOTHECARY
Provider Business Mailing Address
First Line : 8210 WALNUT HILL LN STE 113
Second Line :
City : DALLAS
State : TX
Zip : 75231-4418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8210 WALNUT HILL LN STE 113
Second Line :
City : DALLAS
State : TX
Zip : 75231-4418
Country : US
Telephone Number : 214-345-7759
Fax Number : 214-345-4230
Authorized Official
Title or Position : STAFF
Name : CHARLES PIAZZA
Credential : RPH
Telephone Number : 214-345-2595
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/11/2020

Similar Medicare Providers

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Practice Location Address:
8210 WALNUT HILL LANE , STE 300, LB 11
DALLAS, TX
75231-4418
Practice Phone: 214-750-1207
Practice Fax: 214-739-5029
1669481651 — DR. MICHAEL JAMES CHAMPINE MD
Practice Location Address:
8210 WALNUT HILL LN , STE 130, LB 11
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1205845369 — TEXAS ORTHOPAEDIC ASSOCIATES, LLP
Practice Location Address:
8210 WALNUT HILL LN , STE 130, LB 11
DALLAS, TX
75231-4418
Practice Phone: 214-750-1207
Practice Fax: 214-739-5029
1053320010 — DR. ROBERT RUSSELL SCHEINBERG MD
Practice Location Address:
8210 WALNUT HILL LN STE 130
DALLAS, TX
75231-4418
Practice Phone: 214-750-1207
Practice Fax: 214-750-8504
1619986692 — DR. JOHN ANTHONY RACANELLI MD
Practice Location Address:
8210 WALNUT HILL LN , STE 130, LB 11
DALLAS, TX
75231-4418
Practice Phone: 214-750-1207
Practice Fax: 214-739-5029
1225047210 — MR. DAVID MATTHEW HECK LSA
Practice Location Address:
8210 WALNUT HILL LN , STE 130, LB 11
DALLAS, TX
75231-4418
Practice Phone: 214-750-1207
Practice Fax: 214-739-5029

Directions to “PRESBYTERIAN APOTHECARY ” Practice Location

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