Organization · NPI-2

Dallas County Mental Health & Mental Retardation Center

Pharmacy, Clinic Pharmacy · Addison, TX

NPI number1023410024
StatusActive
Last updated in NPPESMar 6, 2017

Details

NPI
1023410024
Entity type
Organization (NPI-2)
Legal business name
Dallas County Mental Health & Mental Retardation Center
Organization subpart
No
Enumeration date
Sep 22, 2014
Last updated
Mar 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0002X Pharmacy, Clinic Pharmacy29518TXYes
3336M0002X Pharmacy, Mail Order Pharmacy––
333600000X Pharmacy––

Other names

  • Metrocare Pharmacy At Midway (Doing Business As)

Practice location

16160 Midway Rd Ste 200
Attn: Pharmacy
Addison, TX 75001-4202

Phone 972-331-6370 · Fax 214-330-2491

Mailing address

16160 Midway Rd Ste 200
Attn: Pharmacy
Addison, TX 75001-4202

Phone 972-331-6370 · Fax 214-330-2491

Authorized official

Mordechai Edery
Director Of Pharmacy
2147436180

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy, Clinic Pharmacy providers in Addison, TX