MEDICARE: KIMODALE INC

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
1	333600000X	Pharmacy	24314	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4574352	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1578578191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMODALE INC

Provider Business Mailing Address
First Line	:	PO BOX 170686
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-0686
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7932 S LOOP 12
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-6609
Country	:	US
Telephone Number	:	214-398-8113
Fax Number	:	214-398-5852

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAKIM AHADDAD
Credential	:	RPH
Telephone Number	:	214-398-9786

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1841339736 — KIMODALE, INC.
Practice Location Address:

7932 S. LOOP 12
DALLAS, TX
75217-6609

Practice Phone: 214-391-3101
Practice Fax: 214-398-6408

1265232532 — RK SOLUTIONS
Practice Location Address:

1300 DALLAS DR APT 1124
DENTON, TX
76205-6609

Practice Phone: 432-243-4841
Practice Fax:

1144225822 — DR. ROBERT LORIN CANTRELL M.D
Practice Location Address:

9202 ELAM RD , SOUTHEAST DALLAS HEALTH CENTER
DALLAS, TX
75217-4151

Practice Phone: 214-266-1600
Practice Fax: 214-266-1790

1194724823 — DR. NIRMALA MATHAI M.D.
Practice Location Address:

9202 ELAM RD
DALLAS, TX
75217-4151

Practice Phone: 214-266-1600
Practice Fax:

1649264391 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:

9202 ELAM RD
DALLAS, TX
75217-4151

Practice Phone: 214-590-1766
Practice Fax:

1619962123 — MRS. JOYCE J. CARR MASTERS DEGREE
Practice Location Address:

1655 N JIM MILLER RD
DALLAS, TX
75217-1321

Practice Phone: 214-391-2178
Practice Fax: 214-391-2178

Directions to “KIMODALE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.